Individual
MARLENE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
45 FALLS XING, COVINGTON, GA 30016-8935
(679) 459-8618
Mailing address
45 FALLS XING, COVINGTON, GA 30016-8935
(679) 459-8618
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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