Individual
STEPHANIE LEANNE ODEJIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
Mailing address
2971 DAYLILY DR, COLUMBUS, IN 47201-5623
(346) 907-8272
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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