Provider Demographics
NPI:1366264913
Name:CARO, JUDITH
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:CARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 S JONES BLVD APT 1080
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-0520
Mailing Address - Country:US
Mailing Address - Phone:702-302-1223
Mailing Address - Fax:
Practice Address - Street 1:7600 S JONES BLVD APT 1080
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-0520
Practice Address - Country:US
Practice Address - Phone:702-302-1223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant