JONA ODIM

WYLIE, TX
NPI1982422952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  2024059804)
Enumeration Date2024-09-30
Last Update Date2024-09-30
Business Address
JONA ODIM PMHNP
940 W FM 544
WYLIE, TX 75098-4905
Phone number: 469-335-6133
Mailing Address
JONA ODIM PMHNP
940 W FM 544
WYLIE, TX 75098-4905
Phone number: