Individual
TATIANA L ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 SW RIDGE LN, STUART, FL 34994-7126
(402) 417-6572
Mailing address
308 SW RIDGE LN, STUART, FL 34994-7126
(402) 417-6572
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
04/07/2025
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