Benson Odulla, LPN | |
50 N Munn Ave Apt 5, East Orange, NJ 07017-4151 | |
(800) 950-6066 | |
Not Available |
Full Name | Benson Odulla |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 50 N Munn Ave Apt 5, East Orange, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750611554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 26NP05905500 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Benson Odulla, LPN 50 N Munn Ave Apt 5, East Orange, NJ 07017-4151 Ph: (800) 950-6066 | Benson Odulla, LPN 50 N Munn Ave Apt 5, East Orange, NJ 07017-4151 Ph: (800) 950-6066 |
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