Most Relevant Information
Provider Data
| NPI Number: | 1003316696 |
| Provider Name: | JUDITH G ONDIMU |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 329136 |
Most Important Dates
| Enumeration Date: | 02/20/2018 |
| Last Updated: | 02/20/2018 |
Provider Practice Location
2345 ASH GROVE TRL
FORT WORTH
TX
761127430
Practice Location Phone/Fax
| Phone: | 8178917862 |
| Fax: |
Provider Mailing Location
2345 ASH GROVE TRL
FORT WORTH
TX
761127430
Provider Mailing Phone/Fax
| Phone: | 8178917862 |
| Fax: |