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Erwin Lanier Odongo
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1639759848

Erwin Lanier Odongo is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Erwin Lanier Odongo practices in Newark, NJ. The NPI Number for Erwin Lanier Odongo is 1639759848 and holds a License No. (New Jersey).

The current practice location address for Erwin Lanier Odongo is 185 S Orange Ave Bldg Roomg594, Newark, NJ and can be reached out via phone at 973-972-5018 and via fax at 973-972-6591.

Location: 185 S Orange Ave Bldg Roomg594, Newark, NJ, 07103-2757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639759848
Provider Name
Erwin Lanier Odongo
Credential
Provider Entity Type
Individual
Gender
Male
Address
185 S Orange Ave Bldg Roomg594, Newark, NJ, 07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
185 S Orange Ave Bldg Roomg594
City
Newark
State
New Jersey
Zip
07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
person
Provider Business Mailing Address Details
Address
185 S Orange Ave Bldg Roomg594
City
Newark
State
New Jersey
Zip
07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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