Individual
EMMANUEL ODOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 LANDING ST, MANSFIELD, TX 76063-4477
(347) 350-4686
Mailing address
1705 LANDING ST, MANSFIELD, TX 76063-4477
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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