Individual
JUDY ANN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-CCHP
Contact information
Practice address
1318 E TIME ZONE DR, MERIDIAN, ID 83642-7463
(208) 703-7103
Mailing address
1318 E TIME ZONE DR, MERIDIAN, ID 83642-7463
(208) 703-7103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096003171RN
OR
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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