Individual
NIKI ODANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 4TH AVE STE 2, SOUTH CHARLESTON, WV 25303-1266
(304) 744-5085
Mailing address
325 4TH AVE STE 2, SOUTH CHARLESTON, WV 25303-1266
(304) 744-5085
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29075
WV
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/03/2025
Last updated
05/15/2025
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