Individual
JUDITH DIANNE ONYANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7252 LUMBER PORT DR, RUSKIN, FL 33573-0131
(813) 352-8011
Mailing address
7252 LUMBER PORT DR, RUSKIN, FL 33573-0131
(813) 352-8011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5212405
FL
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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