NPI | 1730406158 |
---|---|
Professional Name | JUDY COLESBAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY F401031) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NY F401031) |
163WC1500X Registered Nurse Community Health (Licence: NY F401031) | |
Enumeration Date | 2010-04-24 |
Last Update Date | 2013-08-09 |