Tatyana Anatolia Omdahl
NPI #1578812145 in Midlothian, Virginia
Provider Information
- NPI Number
- 1578812145
- Entity Type
- Individual
- Name
- Tatyana Anatolia Omdahl
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 13920 SAGEBROOK RD
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23112-4228
- Phone
- (434) 247-1481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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