Individual
JESSE JONATHAN ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
295 MAIN ST, BUFFALO, NY 14203-2412
(716) 322-0290
(716) 322-0361
Mailing address
295 MAIN ST, BUFFALO, NY 14203-2412
(716) 322-0290
(716) 322-0361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X013265-01
NY
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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