Individual
MARSHA E BODUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 ROUTE 34 SOUTH, BLDG C-3, COLTS NECK, NJ 07722
(732) 866-2303
Mailing address
15771 GREEN RD, LACHINE, MI 49753-9799
(989) 278-0641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704262370
MI
163WM0705X
Medical-Surgical Registered Nurse
4704262370
MI
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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