Individual
MRS. JUDY MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2428 BLAKE RD, ASHTABULA, OH 44004-4548
(440) 997-5301
Mailing address
3436 EDGEWOOD DR, ASHTABULA, OH 44004-5967
(440) 998-4411
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN178231
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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