JACKIE ODISHOO

In Home Supportive Care

Active Individual
NPI: 1962813931

Practice Address

12163 N 87TH DR
Peoria, AZ 85345

Phone: (623) 326-8282

Specialties

Specialty Code Primary License
In Home Supportive Care 253Z00000X Yes -

Frequently Asked Questions

NPI 1962813931 is the National Provider Identifier for JACKIE ODISHOO, a In Home Supportive Care provider located in Peoria, AZ. This NPI was enumerated on May 13, 2014.
JACKIE ODISHOO practices at 12163 N 87TH DR, Peoria, AZ 85345.

Quick Facts

NPI
1962813931
Type
Individual
Enumerated
May 13, 2014
Last Updated
May 13, 2014

Nearby Providers