Individual
MS. MARY ANN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
550 S VERMONT AVE, 12TH FLOOR, LOS ANGELES, CA 90020-1912
(213) 637-4588
(213) 427-6166
Mailing address
2528 ROXY ST, SIMI VALLEY, CA 93065-1534
(805) 813-9534
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
347128
CA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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