| NPI | 1306172309 |
|---|---|
| Doing Business As | O'DONNELL VEIN AND LASER |
| Entity Type | Organization |
| Authorized Contact | KELLY ANN O'DONNELL Owner 410-693-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD d0042645) |
| Additional Taxonomies | 202K00000X |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2023-06-20 |