Individual
GARY ALONZO ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24633 MAYFAIR ST, FLAT ROCK, MI 48134-1311
(313) 930-1169
Mailing address
18511 PARK HILL LN, BROWNSTOWN TWP, MI 48183-4643
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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