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Contact Information

THEODORA RUDD, RDN
167 NORTH MAIN STREET
TUBA CITY, AZ86045
 Phone: 928-283-2895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for THEODORA RUDD · (Female)

NPI # 1548665227
Status Active
Credentials RDN
Entity Individual
Enumeration date 10/24/2014
Last updated 10/24/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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