Individual
GWENDOLYN BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2506 CLAM BED CT, MATTHEWS, NC 28105-6600
(802) 922-2955
Mailing address
2506 CLAM BED CT, MATTHEWS, NC 28105-6600
(802) 922-2955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
072569-21
NH
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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