Individual
AMELIA ROSE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, IBCLC
Contact information
Practice address
8325 WALNUT HILL LN STE 225, DALLAS, TX 75231-4263
(214) 691-3535
Mailing address
8325 WALNUT HILL LN STE 225, DALLAS, TX 75231-4263
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
97282
TX
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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