Individual
JUDY LYNN WISE COLDIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 2ND ST, WEST PORTSMOUTH, OH 45663-6004
(740) 858-2949
Mailing address
1336 3RD ST, WEST PORTSMOUTH, OH 45663-6013
(174) 072-7219
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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