LAKENYA ODOM

DECATUR, GA
NPI1548649387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: GA  co1099990)
Enumeration Date2015-05-26
Last Update Date2015-05-26
Business Address
-- LAKENYA ODOM
18004 ANWAR TRL
DECATUR, GA 30032-7414
Phone number: 678-668-4183
Mailing Address
-- LAKENYA ODOM
18004 ANWAR TRL
DECATUR, GA 30032-7414
Phone number: