Judy A Oldham, Foster parent
Technician, Personal Care Attendant in Debary, FL. Individual provider (NPI-1).
NPI number1336717552
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1336717552
- Entity type
- Individual (NPI-1)
- Name
- Judy A Oldham
- Credential
- Foster parent
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 1009885100 | FL | Yes |
Practice location
246 Angeles RdDebary, FL 32713-3526
Phone 407-506-6067 · Fax 407-268-0864
Mailing address
246 Angeles RdDebary, FL 32713-3526
Phone 407-506-6067 · Fax 407-268-0864
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