Melody A Rudolph, BS, CMT, CST, CIMI

NPI #1770609224 in Santee, California

Provider Information

NPI Number: 1770609224
Entity Type: Individual
Name: Melody A Rudolph, BS, CMT, CST, CIMI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: BS, CMT, CST, CIMI
Enumeration Date: Mar 22, 2007
Last Updated: Feb 5, 2014

Practice Location

Address: 10201 MISSION GORGE RD
Address 2: SUITE 'A'
City: Santee
State: California
ZIP Code: 92071-3027
Phone: (619) 794-9002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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