Individual
MERCY LIZZY ODEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-4399
Mailing address
1420 INGRAHAM ST NW, WASHINGTON, DC 20011-3627
(202) 867-4521
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
DC
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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