Individual
PATIENCE OGWA ODUPELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4222 MOOMAW AVE NW, ROANOKE, VA 24017-4314
(540) 613-0757
Mailing address
4222 MOOMAW AVE NW, ROANOKE, VA 24017-4314
(540) 613-0757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001231622
VA
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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