Individual
SHAWNTA LYNNE ODEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SUGAR CANE DR, YOUNGSTOWN, OH 44512-5948
(724) 977-9236
Mailing address
101 SUGAR CANE DR, YOUNGSTOWN, OH 44512-5948
(724) 977-9236
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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