Individual
EMEKA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
3304 MCCORKLE CT, TRIANGLE, VA 22172-2327
(703) 828-8736
Mailing address
3304 MCCORKLE CT, TRIANGLE, VA 22172-2327
(703) 828-8736
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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