SHANDA ODOMS

BILOXI, MS
NPI1922402015
Former NameSHANDA BAXTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R858081)
Enumeration Date2014-10-17
Last Update Date2016-09-30
Business Address
-- SHANDA ODOMS NP-C
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-5000
Mailing Address
-- SHANDA ODOMS NP-C
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-5000
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