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Craig Rudholm
NPI 1669878005 · on the registry since 2014 · sole proprietor
Practice
- Address
- 55 E 18th St
Antioch, CA 94509 - Phone
- (925) 777-1133
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-12
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 California