JACOB ODEN

CHICAGO, IL
NPI1649077231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-02-28
Last Update Date2025-02-28
Business Address
JACOB ODEN
731 S PLYMOUTH CT
CHICAGO, IL 60605-2097
Phone number: 580-481-0386
Mailing Address
JACOB ODEN
731 S PLYMOUTH CT APT 608
CHICAGO, IL 60605-2236
Phone number: 580-481-0386