Individual
MRS. ROXANNE C BODDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUPERVISOR
Contact information
Practice address
500 N 9TH ST STE B, MODESTO, CA 95350-5814
(209) 255-6011
Mailing address
1100 KANSAS AVE STE A, MODESTO, CA 95351-1596
(209) 558-7475
(209) 558-4042
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
05/22/2025
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