Individual
TAMI JUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 SUNRISE VISTA DR STE 2100, CITRUS HTS, CA 95610-7068
(916) 870-2621
Mailing address
7806 UPLANDS WAY SUITE A, CITRUS HTS, CA 95610
(916) 870-2621
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
CA
Enumeration date
01/13/2017
Last updated
09/05/2025
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