Individual
MAYUMI ODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(800) 822-8816
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-117893
AL
Other
Enumeration date
02/19/2013
Last updated
02/01/2024
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