Individual
EVANS ODHIAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8056 JAMES AVE N, BROOKLYN PARK, MN 55444-1673
(201) 214-9999
Mailing address
8056 JAMES AVE N, BROOKLYN PARK, MN 55444-1673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11843
MN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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