Individual
MRS. MARY ELIZABETH ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13500 N EL MIRAGE RD, EL MIRAGE, AZ 85335-2469
(623) 876-7204
Mailing address
13500 N EL MIRAGE RD, EL MIRAGE, AZ 85335-2469
(623) 876-7204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116176
AZ
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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