Individual
LINDA ODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRCST
Contact information
Practice address
7779 KIDWELL DR, HANOVER, MD 21076-1635
(443) 223-4856
Mailing address
7779 KIDWELL DR, HANOVER, MD 21076-1635
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
131390
MD
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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