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Mary Tudor

NPI 1154585941 · on the registry since 2008 · sole proprietor

Practice

Address
834 Robert C Byrd Drive Unit B
Sophia, WV 25921
Phone
(304) 683-3580
Fax
(304) 683-3582

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia