RENATA ODONGO

PHOENIX, AZ
NPI1912453689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
-- RENATA ODONGO AT,CKTP. CGT
4710 N 5TH ST
PHOENIX, AZ 85012-1738
Phone number: 816-262-1979
Mailing Address
-- RENATA ODONGO AT,CKTP. CGT
4410 S. VAL VISTA DR. APT 2089
MESA, AZ 85204-6447
Phone number: 816-262-1979