Andrea Calderon Odewald PA-C

NPI 1730331208 - Physician Assistant - 363A00000X

NPI Details
NPI 1730331208
Gender Female
Enumeration Date 10/16/2008
Last Updated 10/23/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
3432 HOLLAND RD
VIRGINIA BEACH VA, 23452-4846, US
Phone (757) 468-1855
Fax (757) 468-4441
Business Location
PO BOX 758963
BALTIMORE MD, 21275-8963, US
Phone (804) 968-5700
Fax (804) 217-7991
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110002519
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According to our database, Mrs. Andrea Calderon Odewald PA-C NPI is 1730331208, taxonomy code is 363A00000X and license number is 0110002519, license state is located at Virginia. Andrea Calderon Odewald PA-C physically located at 3432 Holland Rd, Virginia Beach VA, 23452-4846. NPI Number Andrea Calderon Odewald PA-C has the Individual type.

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1730331208 NPI number is provided on an as is basis without warranty of any kind. 1730331208 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Calderon Odewald PA-C are for informational purposes only.