Jimmy Odusola

NPI 1356713721 · on the registry since 2015 · sole proprietor

Practice

Address: 327 College St Ste 107
Woodland, CA 95695
Phone: (916) 410-6000
Fax: (530) 419-2603
Organisation at this address: People Reaching Out, Inc.
Vitam Revivere Corporation
Advance Home Care Solutions
Advance Transport Services (Ats) Llc
Yaretzi Counseling And Consulting Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 343900000X
343900000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California