Individual
MRS. JUDY A EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2675 S PALO VERDE BLVD, LAKE HAVASU CITY, AZ 86403-4919
(928) 505-9611
Mailing address
2200 HAVASUPAI BLVD, LAKE HAVASU CITY, AZ 86403-3798
(928) 505-6911
(928) 505-6991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN074226
AZ
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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