Individual
JUDY K EGBEBIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
(888) 830-1050
Mailing address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
(888) 830-1050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
TA4609005700
NJ
174H00000X
Health Educator
Primary
TA4609005700
NJ
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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