NPI | 1922514439 |
---|---|
Doing Business As | JOSEPHINE P ODOM |
Entity Type | Organization |
Authorized Contact | JOSEPHINE P ODOM Owner/Specialist 423-595-0652 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
Enumeration Date | 2017-12-19 |
Last Update Date | 2018-06-16 |