Individual
DAMIAN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12733 W HOLLY ST, AVONDALE, AZ 85392-6416
(602) 472-4723
Mailing address
2942 N 24TH ST, PHOENIX, AZ 85016-7844
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
11/13/2021
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