Individual
JOHN HENRY ODONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 TAYLOR RD, VIRGINIA BEACH, VA 23464-4081
(757) 510-1754
Mailing address
1145 TAYLOR RD, VIRGINIA BEACH, VA 23464-4081
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001143691
VA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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