Individual
DR. ANGELA LEE BODUNGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 METAIRIE AVE, METAIRIE, LA 70005-3860
(504) 835-6467
(504) 835-9498
Mailing address
1805 METAIRIE AVE, METAIRIE, LA 70005-3860
(504) 835-6467
(504) 835-9498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18609
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222ROSE
—
LA
Enumeration date
05/10/2011
Last updated
05/10/2011
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