Individual
LINDA DIANE ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15010 W FOUR MOUND RD, NINE MILE FALLS, WA 99026
(509) 468-1050
(509) 252-0543
Mailing address
15010 W FOUR MOUND RD, NINE MILE FALLS, WA 99026-9704
(509) 468-1050
(509) 252-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00077469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
TAXONOMY CODE
—
Enumeration date
08/20/2017
Last updated
07/21/2022
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