Individual
DR. XITLALICHOMIHA O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
373 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-1135
(609) 704-0185
(609) 704-0195
Mailing address
373 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-1135
(609) 704-0185
(609) 704-0195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09203900
NJ
Other
Enumeration date
08/11/2010
Last updated
04/18/2015
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