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Individual

DR. LEONA ODEMENA

Active
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Individual

DR. LEONA ODEMENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01443
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172837
MEDICARE TPAN
MD
01
5849300001
DURABLE MEDICAL EQUIPMENT (DME) PTAN
MD
Enumeration date
09/15/2006
Last updated
09/21/2012
About Stedi
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