Individual
MS. JANICE MARIE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25342 SW 7TH AVE, NEWBERRY, FL 32669-4918
(352) 317-7677
Mailing address
25342 SW 7TH AVE, NEWBERRY, FL 32669-4918
(352) 317-7677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5158964
FL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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