Doctor Name: | LINDA ODUM |
NPI Number: | 1033588496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRCST |
License Number: | 131390 |
Business Practice Address: | 7779 Kidwell Dr Hanover, MD - 210761635 |
Business Phone Number: | 4432234856 |
Business Fax Number: | |
Mailing Address: | 7779 Kidwell Dr, HANOVER |
State: | MD |
Postal Code: | 210761635 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 131390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |