Provider Demographics
NPI:1336756337
Name:LARBES, JUDITH KAY
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:KAY
Last Name:LARBES
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 1:3908 FULTON GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2507
Mailing Address - Country:US
Mailing Address - Phone:513-628-3473
Mailing Address - Fax:
Practice Address - Street 1:3908 FULTON GROVE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2507
Practice Address - Country:US
Practice Address - Phone:513-628-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant