Individual
MRS. KIMBERLY ODNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 357-8171
Mailing address
845 PALMER DR, PONTIAC, MI 48342-1861
(248) 357-8171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704200965
MI
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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