Individual
AVAE ODZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
985 W BETHANY DR, ALLEN, TX 75013-3740
(972) 908-3840
Mailing address
985 W BETHANY DR, ALLEN, TX 75013-3740
(972) 908-3840
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
46068
TX
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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