Individual
JOCELYN ESCUADRO ODASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 S TELSHOR BLVD STE 202, LAS CRUCES, NM 88011-8601
(575) 339-1066
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
01/05/2022
Last updated
01/05/2022
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