Search › Arizona › Adult Companion
Matthew Odishoo
NPI 1679069025 · on the registry since 2018
Practice
- Address
- 2114 S 118th Ave
Avondale, AZ 85323 - Phone
- (623) 792-7930
- Fax
- (623) 777-1683
- Organisation at this address
- Assisted Living Of The Valley, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Adult Companion
372600000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-09
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 Arizona