Individual
DANIELLA ATIENO ODERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD # 505, PHILADELPHIA, PA 19141-3018
(215) 456-7453
Mailing address
3409 CRESSON ST APT 6, PHILADELPHIA, PA 19129-1653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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