Individual
ANGELA S ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 GUNNISON AVE, GRAND JUNCTION, CO 81504-2626
(970) 730-9601
Mailing address
3031 GUNNISON AVE, GRAND JUNCTION, CO 81504-2626
(970) 730-9601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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