Individual
NALINI ODOM MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
300 HARBOR BLVD, BELMONT, CA 94002-4018
(650) 817-9070
(650) 246-3838
Mailing address
300 HARBOR BLVD, BELMONT, CA 94002-4018
(650) 817-9070
(650) 246-3838
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35049
CA
Other
Enumeration date
11/23/2010
Last updated
03/04/2015
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