Individual
ANNASTECIA ODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 CAROLYN ST, LOWELL, MA 01850-1840
(978) 327-8212
Mailing address
86 CAROLYN ST, LOWELL, MA 01850-1840
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98170
MA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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