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Alonzo Odem

NPI 1588365142 · on the registry since 2023

Practice

Address
211 Misty Ln
Woodland, WA 98674
Phone
(712) 463-3181

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-10

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 Washington