Individual
MR. ANTONY OTIENO ODHIAMBO
Active
Individual
MR. ANTONY OTIENO ODHIAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
374U00000X
Home Health Aide
Primary
HHA13021
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0351067668254
DRIVE'S LICENSE NO
MD
Enumeration date
09/07/2017
Last updated
02/04/2026
Update your record
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