Individual
JUDY LEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
58144240
TN
172A00000X
Driver
058144240
TN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
Update your record
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