Individual
TAJAYLAH LAKAISHA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 OAKLAND AVE, ROCK HILL, SC 29733-7001
(803) 323-2211
Mailing address
237 W DORCHESTER BLVD, GREENVILLE, SC 29605-2434
(864) 535-1298
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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