Individual
MS. DONNA G BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1243 S CEDAR CREST BLVD, SUITE 300, ALLENTOWN, PA 18103-6268
(610) 402-4783
Mailing address
207 AUBURN DR, EASTON, PA 18042-7118
(610) 438-2465
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003217
PA
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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