Individual
DEVAN ODDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8765 AERO DR, SUITE 130, SAN DIEGO, CA 92123-1781
(858) 541-0181
Mailing address
8765 AERO DRIVE, SUITE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0010-06631
NC
Other
Enumeration date
10/08/2010
Last updated
12/05/2019
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