Individual
MEGAN ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5600
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
05/24/2021
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