Individual
JANICE UDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 US HIGHWAY 17 92 N, DAVENPORT, FL 33837-9584
(816) 807-9097
Mailing address
3700 US HIGHWAY 17 92 N, DAVENPORT, FL 33837-9584
(816) 807-9097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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