Provider Demographics
NPI:1689876393
Name:HUDSON, SAMZIE JENNIFER (CMT)
Entity Type:Individual
Prefix:MS
First Name:SAMZIE
Middle Name:JENNIFER
Last Name:HUDSON
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 TOMPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2226
Mailing Address - Country:US
Mailing Address - Phone:510-938-2706
Mailing Address - Fax:510-530-2381
Practice Address - Street 1:4104 TOMPKINS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2226
Practice Address - Country:US
Practice Address - Phone:510-938-2706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist