Individual
JEFFERY LEE JUDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 E 2ND ST, THE DALLES, OR 97058-2107
(541) 296-5878
(541) 296-3434
Mailing address
317 E 2ND ST, THE DALLES, OR 97058-2107
(541) 296-5878
(541) 296-3434
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
OR
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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