Individual
ANGELA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 FIOLI CIR, GRANITEVILLE, SC 29829-3991
(803) 640-7708
Mailing address
195 FIOLI CIR, GRANITEVILLE, SC 29829-3991
(803) 640-7708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5656
SC
225700000X
Massage Therapist
MT005041
GA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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