Individual
COLBIE LARIEIA ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 COLUMBIA 100 PKWY STE E, COLUMBIA, MD 21045-2336
(443) 380-0060
Mailing address
18 RUDDINGTON CT, REISTERSTOWN, MD 21136-2425
(410) 245-9142
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
R194655
MD
363LF0000X
Family Nurse Practitioner
Primary
R194655
MD
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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