Individual
MELISSA ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 CHURCH ST, REDLANDS, CA 92374-2595
(310) 482-1820
Mailing address
1314 CHURCH ST, REDLANDS, CA 92374-2595
(310) 482-1820
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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