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Mrs. Grace A Odallo
Gerontology Nurse Practitioner in Chesapeake, Virginia
NPI 1093324469

Grace A Odallo is a Gerontology Nurse Practitioner based in Chesapeake, VA and is specialized in Gerontology. Grace A Odallo practices in Chesapeake, VA. The NPI Number for Grace A Odallo is 1093324469 and holds a License No. 0024178802 (Virginia).

The current practice location address for Grace A Odallo is 3441 Raytee Dr, Chesapeake, VA and can be reached out via phone at 757-372-1912.

Location: 3441 Raytee Dr, Chesapeake, VA, 23323-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093324469
Provider Name
Grace A Odallo
Credential
Provider Entity Type
Individual
Gender
Female
Address
3441 Raytee Dr, Chesapeake, VA, 23323-1230
Phone Number
757-372-1912
Fax Number
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3441 Raytee Dr
City
Chesapeake
State
Virginia
Zip
23323-1230
Phone Number
757-372-1912
Fax Number
person
Provider Business Mailing Address Details
Address
3441 Raytee Dr
City
Chesapeake
State
Virginia
Zip
23323-1230
Phone Number
757-372-1912
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
0024178802 (Virginia)
Definition
Definition to come...
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