Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEQUIA ODOM
Active Sole ProprietorTEQUIA ODOM is a Home Health healthcare provider located in RAYMOND, Mississippi. NPI 1619416856 is currently active in the NPPES registry. Verify at CMS.
Home Health · RAYMOND, MS
Registration Details
- NPI Number
- 1619416856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2017 (9.2926092355106 yrs)
- Last Updated
- Feb 21, 2017
- License
-
800963665 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1825 SEATON RDRAYMOND, MS, 391549415Browse MS providers · Browse ZIP 39154
- Phone
- 6019518913
- Primary Specialty
-
Home Health
251E00000X
- Additional Specialty
- In Home Supportive Care Agency
- Additional Specialty
- Private Vehicle
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.