Individual
JUDITH AMELIA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7325 W ANDREW LN, PEORIA, AZ 85383-3053
(623) 537-7918
Mailing address
7325 W ANDREW LN, PEORIA, AZ 85383-3053
(623) 537-7918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135106
AZ
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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