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Tequia Odom
NPI 1619416856 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1825 Seaton Rd
Raymond, MS 39154 - Phone
- (601) 951-8913
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 253Z00000X
347C00000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-21
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 Mississippi