Odyzza Jane Centro, PA-C

NPI #1104583947 in Fairfax, Virginia

Provider Information

NPI Number: 1104583947
Entity Type: Individual
Name: Odyzza Jane Centro, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 28, 2021
Last Updated: Mar 9, 2023

Practice Location

Address: 8081 INNOVATION PARK DR STE 500
City: Fairfax
State: Virginia
ZIP Code: 22031-4867
Phone: (571) 472-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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