JAQUANA ODOM

SYRACUSE, NY
NPI1164269569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: NY  881153)
Enumeration Date2024-07-11
Last Update Date2024-07-11
Business Address
JAQUANA ODOM
213 WOLCOTT AVE
SYRACUSE, NY 13207-1124
Phone number: 315-664-2143
Mailing Address
JAQUANA ODOM
213 WOLCOTT AVE
SYRACUSE, NY 13207-1124
Phone number: 315-664-2143