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Tajaylah Lakaisha Odom
Student in an Organized Health Care Education/Training Program in Rock Hill, South Carolina
NPI 1922761451

Tajaylah Lakaisha Odom is a Student in an Organized Health Care Education/Training Program based in Greenville, SC. Tajaylah Lakaisha Odom practices in Rock Hill, SC. The NPI Number for Tajaylah Lakaisha Odom is 1922761451 and holds a License No. (South Carolina).

The current practice location address for Tajaylah Lakaisha Odom is 701 Oakland Ave, Rock Hill, SC and can be reached out via phone at 803-323-2211.

Location: 701 Oakland Ave, Rock Hill, SC, 29605-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922761451
Provider Name
Tajaylah Lakaisha Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
701 Oakland Ave, Rock Hill, SC, 29605-2434
Phone Number
803-323-2211
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Oakland Ave
City
Rock Hill
State
South Carolina
Zip
29733-7001
Phone Number
803-323-2211
Fax Number
person
Provider Business Mailing Address Details
Address
701 Oakland Ave
City
Rock Hill
State
South Carolina
Zip
29733-7001
Phone Number
803-323-2211
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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