Individual
BOBBY DANTE' JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 E BARBEE ST, ZEBULON, NC 27597-2811
(919) 404-0628
Mailing address
221 E BARBEE ST, ZEBULON, NC 27597-2811
(919) 404-0628
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL092189
NC
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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