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Individual

CHANNIE LATAURUS ODAMS

Active
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Individual

CHANNIE LATAURUS ODAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101060
MI
164W00000X
Licensed Practical Nurse
71594
NC
164W00000X
Licensed Practical Nurse
LPN090950
GA
171M00000X
Case Manager/Care Coordinator
—
MI
172A00000X
Driver
—
MI
372500000X
Chore Provider
—
NULL
372600000X
Adult Companion
—
NULL
374700000X
Technician
—
MI
3747A0650X
Attendant Care Provider
3747A0650X
MI
3747P1801X
Personal Care Attendant
—
MI
374U00000X
Home Health Aide
—
NULL
376J00000X
Homemaker
—
MI
376K00000X
Nurse's Aide
—
NULL

Other

Enumeration date
12/23/2009
Last updated
11/13/2024
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