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NPI Code Detail

MEDICARE: LONDYN MAREE HUDSON

MEDICARE: LONDYN MAREE HUDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1366331795
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONDYN MAREE HUDSON
Provider Business Mailing Address
First Line : 429 LIVERNOIS ST
Second Line :
City : FERNDALE
State : MI
Zip : 48220-2675
Country : US
Telephone Number : 313-518-1481
Fax Number :
Provider Business Practice Location Address
First Line : 429 LIVERNOIS ST
Second Line :
City : FERNDALE
State : MI
Zip : 48220-2675
Country : US
Telephone Number : 313-518-1481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2025
Last Update Date : 07/01/2025

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Directions to “ LONDYN MAREE HUDSON ” Practice Location

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