Individual
JASON ANTHONY ODHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CCRN
Contact information
Practice address
2902 W CLARENDON AVE, PHOENIX, AZ 85017-4609
(602) 762-1975
Mailing address
14079 N 34TH PL, PHOENIX, AZ 85032-5308
(602) 762-1975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160365
AZ
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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