Provider Demographics
NPI:1205602943
Name:DUDAS, MARGARET JULIANNA (ND)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:JULIANNA
Last Name:DUDAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 MUIRLANDS DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-6828
Mailing Address - Country:US
Mailing Address - Phone:310-595-5162
Mailing Address - Fax:
Practice Address - Street 1:928 FORT STOCKTON DR STE 213
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1890
Practice Address - Country:US
Practice Address - Phone:619-546-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1460175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty