WAYNE LEE KUDERA

TYNDALL, SD
NPI1952686016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SD  111)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
Mr. WAYNE LEE KUDERA
410 W 16TH AVE
TYNDALL, SD 57066-2318
Phone number: 605-589-3341
Mailing Address
Mr. WAYNE LEE KUDERA
2922 ADKINS DR
YANKTON, SD 57078-5307
Phone number: 605-665-1193