Individual
MARCIA ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 E LINDA LN, GILBERT, AZ 85234-6142
(602) 525-2811
Mailing address
1718 E LINDA LN, GILBERT, AZ 85234-6142
(602) 525-2811
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP046718
AZ
Other
Enumeration date
11/17/2014
Last updated
11/18/2014
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