Provider Demographics
NPI:1407190358
Name:JUDSON, CALI ANN (LD, PPD, CCCE)
Entity Type:Individual
Prefix:MS
First Name:CALI
Middle Name:ANN
Last Name:JUDSON
Suffix:
Gender:F
Credentials:LD, PPD, CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28840 STARTREE LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-4159
Mailing Address - Country:US
Mailing Address - Phone:661-309-2955
Mailing Address - Fax:
Practice Address - Street 1:28840 STARTREE LN
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-4159
Practice Address - Country:US
Practice Address - Phone:661-309-2955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula