Individual
RITA MARGARET ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
P00175
AR
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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