Most Relevant Information
Provider Data
NPI Number: | 1003441312 |
Provider Name: | TIFFANY MARQUICE ODOMS |
Entity Type: | Individual |
Taxonomy Code: | 374U00000X |
Specialty: | Home Health Aide |
License Number: |
Most Important Dates
Enumeration Date: | 03/06/2020 |
Last Updated: | 03/06/2020 |
Provider Practice Location
3405 LEHMAN RD APT 3
CINCINNATI
OH
452051370
Practice Location Phone/Fax
Phone: | 5135709972 |
Fax: |
Provider Mailing Location
3405 LEHMAN RD APT 3
CINCINNATI
OH
452051370
Provider Mailing Phone/Fax
Phone: | 5135709972 |
Fax: |