Individual
LINDSAY BODENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 W COLONIAL PKWY, ROSEVILLE, CA 95661-5037
(619) 865-3866
Mailing address
1465 W COLONIAL PKWY, ROSEVILLE, CA 95661-5037
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21836
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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