Individual
DORIS ODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 943-7650
Mailing address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 943-7650
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN255071
CA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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