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Organization
ODIN HEALTHCARE PLLC
Active
Organization
ODIN HEALTHCARE PLLC
Active
Other names
Zen Mind OHC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MARTINEZ NP (OWNER)
(813) 817-1135
Entity
Organization
Contact information
Practice address
3151 DALLAS HIGH SHOALS HWY UNIT 935, DALLAS, NC 28034-1369
(803) 470-5358
Mailing address
3151 DALLAS HIGH SHOALS HWY UNIT 935, DALLAS, NC 28034-1369
(803) 470-5358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/06/2022
Last updated
06/15/2022
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