Individual
JAUNICE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MASSACHUSETTS AVE SE BLDG 13, WASHINGTON, DC 20003-2542
(202) 603-3405
Mailing address
1900 MASSACHUSETTS AVE SE BLDG 13, WASHINGTON, DC 20003-2542
(202) 603-3405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1003726
DC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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