Individual
ELIZABETH ROSE ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
1501 LAKESIDE DR, BOX 5082, LYNCHBURG, VA 24501-3113
(703) 229-3123
Mailing address
3100 N HARRISON ST, ARLINGTON, VA 22207-1561
(703) 229-3123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2255A2300X
VA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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