Odom, Jaquana

Odom, Jaquana is an sole proprietor health care provider with primary practice located at 213 Wolcott Ave , Syracuse NY 13207-1124. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Odom, Jaquana can be contacted via phone (315) 664-2143.

Contact Information

Primary practice address
213 Wolcott Ave Syracuse NY 13207-1124
Phone: (315) 664-2143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 881153 New York

Profile Details

NPI number 1164269569
LBN Legal business name Odom, Jaquana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2024
Last updated Jul 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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