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Individual

STACEY LYNN ODELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
60 DOGWOOD DR APT 302, WEST WARWICK, RI 02893-7541
(401) 225-1605
Mailing address
60 DOGWOOD DR APT 302, WEST WARWICK, RI 02893-7541
(401) 225-1605

Taxonomy

Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN40785
RI

Other

Enumeration date
12/04/2021
Last updated
12/04/2021
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