Davenport Odibo, Wanda

Davenport Odibo, Wanda is an sole proprietor health care provider with primary practice located at 1431 Daisy Dr , Lancaster TX 75134-1635. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davenport Odibo, Wanda can be contacted via phone (972) 948-8314.

Contact Information

Primary practice address
1431 Daisy Dr Lancaster TX 75134-1635
Phone: (972) 948-8314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15391 Texas

Profile Details

NPI number 1033390604
LBN Legal business name Davenport Odibo, Wanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2007
Last updated Nov 23rd, 2007 - about 17 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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