Individual
MS. VALOSHA ASHLEIGH ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
105 BRANTMERE CT, JAMESTOWN, NC 27282-8404
(336) 554-3092
Mailing address
PO BOX 1273, JAMESTOWN, NC 27282-1273
(773) 828-9083
(336) 203-2213
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
N95779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP5779
NURSING POOL LICENSE
NC
Enumeration date
11/18/2020
Last updated
11/19/2020
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