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CHANNIE LATAURUS ODAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
40075 EATON ST APT 203, CANTON, MI 48187-4526
(734) 521-1577
Mailing address
847 SUMPTER ROAD, #436, BELLEVILLE, MI 48111
(734) 851-1577

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101060
MI
164W00000X
Licensed Practical Nurse
71594
NC
164W00000X
Licensed Practical Nurse
LPN090950
GA
171M00000X
Case Manager/Care Coordinator
MI
172A00000X
Driver
MI
372500000X
Chore Provider
372600000X
Adult Companion
374700000X
Technician
MI
3747A0650X
Attendant Care Provider
3747A0650X
MI
3747P1801X
Personal Care Attendant
MI
374U00000X
Home Health Aide
376J00000X
Homemaker
MI
376K00000X
Nurse's Aide

Other

Enumeration date
12/23/2009
Last updated
11/13/2024
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