Individual
DR. AMY LEE BODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-3846
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BK192220714
CA
Other
Enumeration date
04/25/2007
Last updated
11/30/2021
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