Doctor Name: | ODESSA OCHOA |
NPI Number: | 1033544606 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 0110004304 |
Business Practice Address: | 5477 Mooretown Rd Williamsburg, VA - 231882108 |
Business Phone Number: | 8005825066 |
Business Fax Number: | |
Mailing Address: | 5477 Mooretown Rd, WILLIAMSBURG |
State: | VA |
Postal Code: | 231882108 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/13/2013 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110004304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |