Individual
JUDY A OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FOSTER PARENT
Contact information
Practice address
246 ANGELES RD, DEBARY, FL 32713-3526
(407) 506-6067
(407) 268-0864
Mailing address
246 ANGELES RD, DEBARY, FL 32713-3526
(407) 506-6067
(407) 268-0864
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1009885100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109885100
—
FL
Enumeration date
06/14/2021
Last updated
06/14/2021
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