Individual
JILL T ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 23RD PL NE, WASHINGTON, DC 20002-4815
(240) 392-7784
Mailing address
4692 MLK JR AVE SW APT 202, WASHINGTON, DC 20032-1136
(240) 392-7784
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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