Odallo, Grace A

Odallo, Grace A is an individual health care provider with primary practice located at 3441 Raytee Dr , Chesapeake VA 23323-1230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Odallo, Grace A can be contacted via phone (757) 372-1912.

Contact Information

Primary practice address
3441 Raytee Dr Chesapeake VA 23323-1230
Phone: (757) 372-1912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024178802 Virginia

Profile Details

NPI number 1093324469
LBN Legal business name Odallo, Grace A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2020
Last updated Jul 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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