Individual
JUDITH D BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
510 29 1/2 RD, GRAND JUNCTION, CO 81504-5383
(970) 248-6927
Mailing address
729 SHORE CIR UNIT A, GRAND JUNCTION, CO 81505-8712
(970) 261-5702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67947
CO
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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