Individual
MS. CHRISTINA DOLORES BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1865 N FOREST HILL PL, DANVILLE, CA 94526-5611
(925) 820-1087
Mailing address
1865 N FOREST HILL PL, DANVILLE, CA 94526-5611
(925) 820-1087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
845360
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0992-0213
NCBDE CERTIFICATE NUMBER
—
01
—
845360
CDR REGISTRATION ID NUMBE
—
Enumeration date
11/01/2006
Last updated
07/08/2007
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