Individual
MRS. RENEE ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
207W00000X
AZ
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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