Individual
BREYANA ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4618 NANTUCKETT DR APT 7, TOLEDO, OH 43623-3169
(419) 705-1192
Mailing address
4618 NANTUCKETT DR APT 7, TOLEDO, OH 43623-3169
(419) 705-1192
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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