Organization
ODOBO MEDICAL CONSULTANT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGHOSA ODOBO NP-C (OWNER)
(678) 358-4681
Entity
Organization
Contact information
Practice address
10739 BERNINI DR, LAS VEGAS, NV 89141-4259
(678) 358-4681
Mailing address
10739 BERNINI DR, LAS VEGAS, NV 89141-4259
(678) 358-4681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
NV
363LP2300X
Primary Care Nurse Practitioner
—
NV
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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