Individual
YVETTE ODOM-LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
Mailing address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
578782
NY
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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