Glen I Judd

NPI 1346449428 - Registered Nurse - 163W00000X

NPI Details
NPI 1346449428
Gender Male
Enumeration Date 07/17/2007
Last Updated 07/17/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
323 W HALEYS LOOKOUT
ELK RIDGE UT, 84651-4564, US
Phone (801) 472-2452
Fax
Business Location
323 W HALEYS LOOKOUT
ELK RIDGE UT, 84651-4564, US
Phone (801) 472-2452
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 663310
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According to our database, Glen I Judd NPI is 1346449428, taxonomy code is 163W00000X and license number is 663310, license state is located at California. Glen I Judd physically located at 323 W Haleys Lookout, Elk Ridge UT, 84651-4564. NPI Number Glen I Judd has the Individual type.

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1346449428 NPI number is provided on an as is basis without warranty of any kind. 1346449428 is maintained by the National Plan & Provider Enumeration System. The contents of Glen I Judd are for informational purposes only.