Individual
BREE D BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 BLACK STAR ST, HUDSONVILLE, MI 49426
(231) 742-0380
Mailing address
3625 BLACK STAR ST, HUDSONVILLE, MI 49426
(231) 742-0380
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
25957
MI
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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