Provider Demographics
NPI:1740427350
Name:HO, JUDY LINDA (RN)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:LINDA
Last Name:HO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 NORTHLAKE DR
Mailing Address - Street 2:# 1
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:380 NORTHLAKE DR
Practice Address - Street 2:# 1
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1260
Practice Address - Country:US
Practice Address - Phone:510-304-3945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA720006163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse