Individual
MRS. JODY LYNN OVERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 TEXAS CREEK LN, COTOPAXI, CO 81223-9647
(719) 942-3073
Mailing address
1216 TEXAS CREEK LN, COTOPAXI, CO 81223-9647
(719) 942-3073
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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