Individual
TAVONDA MARSHEA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 PARK ST APT D, MINOT, ND 58701-4541
(701) 578-6761
Mailing address
706 PARK ST APT D, MINOT, ND 58701-4541
(701) 578-6761
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
101895
ND
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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