Individual
JENELL MONIQUE ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 20TH ST NE, WASHINGTON, DC 20002-4102
(240) 533-8108
Mailing address
824 20TH ST NE, WASHINGTON, DC 20002-4102
(240) 533-8108
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
DC
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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