Individual
SHOMARI ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 HAYES ST NE APT 327, WASHINGTON, DC 20019-5572
(202) 489-9091
Mailing address
5448 BASS PL SE, WASHINGTON, DC 20019-6370
(240) 565-9093
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
DC
Enumeration date
07/10/2022
Last updated
07/10/2022
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