Individual
EVA ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 NW 20TH AVE, BATTLE GROUND, WA 98604-4226
(360) 931-1656
Mailing address
7409 NE 144TH AVE, VANCOUVER, WA 98682-5028
(360) 931-1656
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
WA#MA0006933
WA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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