Individual
ABBY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
184 WILDWOOD DR, COOPERSTOWN, PA 16317-1830
(814) 758-9534
Mailing address
184 WILDWOOD DR, COOPERSTOWN, PA 16317-1830
(814) 758-9534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN315453
PA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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