Individual
JUDY BREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
817 SUCK RUN RD, MANCHESTER, OH 45144-8410
(937) 798-0025
Mailing address
817 SUCK RUN RD, MANCHESTER, OH 45144-8410
(937) 798-0025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
408568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408568
STATE BOARD OF NURSING
OH
Enumeration date
10/28/2014
Last updated
10/28/2014
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