Jackie Odishoo

NPI #1962813931 in Peoria, Arizona

Provider Information

NPI Number: 1962813931
Entity Type: Individual
Name: Jackie Odishoo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: May 13, 2014
Last Updated: May 13, 2014

Practice Location

Address: 12163 N 87TH DR
City: Peoria
State: Arizona
ZIP Code: 85345-4132
Phone: (623) 326-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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