Individual
JUDY JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20470 W DELANEY DR, BUCKEYE, AZ 85396
(623) 451-0875
Mailing address
20470 W DELANEY DR, BUCKEYE, AZ 85396-1717
(623) 451-0875
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
08/14/2019
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