SearchNevada171W00000X

Friday Odong

NPI 1194788398 · on the registry since 2006

Practice

Address
4015 W Charleston Blvd
Las Vegas, NV 89102
Phone
(702) 457-0624
Fax
(702) 310-4653
Organisation at this address
Jc Medical Supplies Inc
Optimum Medical Supply, Inc
Best Care Community Service Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada