Individual
HEZEKIAH ODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 SPRINGVIEW CT, GLEN BURNIE, MD 21060-8346
(443) 848-4821
Mailing address
504 SPRINGVIEW CT, GLEN BURNIE, MD 21060-8346
(443) 848-4821
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9544319
FL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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