ELLEN K JUDD

BURLEY, ID
NPI1972560480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-98)
Enumeration Date2006-04-27
Last Update Date2012-11-26
Business Address
-- ELLEN K JUDD P.A.
1308 BENNETT AVE
BURLEY, ID 83318-2665
Phone number: 208-678-7796
Mailing Address
-- ELLEN K JUDD P.A.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-3312