Individual
JUDITH G ONDIMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 ASH GROVE TRL, FORT WORTH, TX 76112-7430
(817) 891-7862
Mailing address
2345 ASH GROVE TRL, FORT WORTH, TX 76112-7430
(817) 891-7862
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329136
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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