Individual
MS. CHARDAE ODETTE GODBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
41306 TORREY PINE CT, HEMET, CA 92544-6367
(951) 396-9983
Mailing address
625 CARNEGIE DR STE 120, SAN BERNARDINO, CA 92408-3577
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95037005
CA
Other
Enumeration date
03/06/2026
Last updated
05/05/2026
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