LOGAN REID TRUDELL

SANTA ROSA, CA
NPI1609655810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: CA  95131684)
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
LOGAN REID TRUDELL RN, BSN
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-525-5300
Mailing Address
LOGAN REID TRUDELL RN, BSN
120 W SOLOMON ST # 1105
GRIFFIN, GA 30223-3045
Phone number: