Organization
BODHI INFUSION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE GLAZIER CRNA (OWNER)
(707) 256-9085
Entity
Organization
Contact information
Practice address
2760 29TH ST STE 1C, BOULDER, CO 80301-1221
(707) 256-9085
Mailing address
2760 29TH ST STE 1C, BOULDER, CO 80301-1221
(707) 256-9085
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
07/04/2025
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