Most Relevant Information
Provider Data
| NPI Number: | 1003598871 |
| Provider Name: | TIMOTHY PAUL TUDOR SUDRC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
2 9TH ST
MARYSVILLE
CA
959015362
Practice Location Phone/Fax
| Phone: | 5307426670 |
| Fax: |
Provider Mailing Location
430 TEEGARDEN AVE
YUBA CITY
CA
959914541
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |