Individual
TAMI ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3504 E MARIA DR, STEVENS POINT, WI 54481-1334
(715) 997-9802
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
537916
WI
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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