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Individual

REGINA ODTOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
803 GRANT AVE, LAKE KATRINE, NY 12449-5352
(845) 331-3970
Mailing address
54 PLEASANT RIDGE DR, POUGHKEEPSIE, NY 12603-5425
(205) 955-2401

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
692919-1
NY

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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