Individual
RONNIE TARSHIS BODKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
118 WOODRIDGE RD, WAYLAND, MA 01778-3724
(508) 358-2480
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117434
MA
Other
Enumeration date
04/10/2007
Last updated
12/13/2012
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