Individual
JUDITH M SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2377 ROBINS WAY, MONTROSE, CO 81401-5901
(720) 879-8930
Mailing address
14771 6175 RD, MONTROSE, CO 81403-8078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0181264
CO
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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