Individual
FRED ODEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 HAYES ST NE APT 327, WASHINGTON, DC 20019-5572
(202) 200-1717
Mailing address
1460 BANGOR ST SE APT 101, WASHINGTON, DC 20020-4967
(202) 200-1717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NONE
DC
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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