SANDRA ELAINE ODOM

PERRYVILLE, AR
NPI1669933370
Former NameSANDRA PATTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A006138)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: AR  A006138)
363L00000X Nurse Practitioner
(Licence: AR  A006138)
Enumeration Date2019-03-26
Last Update Date2023-04-05
Business Address
SANDRA ELAINE ODOM
1016 N FOURCHE AVE
PERRYVILLE, AR 72126-8545
Phone number: 501-238-1284
Mailing Address
SANDRA ELAINE ODOM
1016 N FOURCHE AVE
PERRYVILLE, AR 72126-8545
Phone number: 501-238-1284