Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE ODETTE, DTR, CDM, CFPP
ActiveJACQUELINE ODETTE, DTR, CDM, CFPP is a 136A00000X healthcare provider located in FAIRGROVE, Michigan. NPI 1235743006 is currently active in the NPPES registry. Verify at CMS.
136A00000X · FAIRGROVE, MI
Registration Details
- NPI Number
- 1235743006
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2020 (5.9951943380652 yrs)
- Last Updated
- Aug 31, 2020
- License
-
86198282 (MI)
Practice Information
- Address
-
2328 N THOMAS RDFAIRGROVE, MI, 487339569Browse MI providers · Browse ZIP 48733
- Phone
- 9892332373
- Primary Specialty
-
136A00000X
136A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.