Provider Demographics
NPI:1457375503
Name:HAYES, JUDY LEONE (MED,COMS,CLVT)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:LEONE
Last Name:HAYES
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Gender:F
Credentials:MED,COMS,CLVT
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Mailing Address - Street 1:174 SE ELM LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-6470
Mailing Address - Country:US
Mailing Address - Phone:386-752-7012
Mailing Address - Fax:386-754-6423
Practice Address - Street 1:619 S MARION AVE
Practice Address - Street 2:VIST 11/CA
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5808
Practice Address - Country:US
Practice Address - Phone:386-755-3016
Practice Address - Fax:386-754-6423
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind