Individual
JACQUELINE ODHIAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024196175
VA
367500000X
Certified Registered Nurse Anesthetist
1101543
TX
Other
Enumeration date
02/14/2020
Last updated
03/26/2026
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