Individual
ANDREA ODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 E PRATER WAY STE 103, SPARKS, NV 89434-8963
(702) 715-4662
Mailing address
5970 OMAHA ST, RENO, NV 89506-8621
(702) 715-4662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7123
NV
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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