Individual
MS. DIANE E BODJANAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8828 N 31ST AVE, PHOENIX, AZ 85051-3999
(623) 915-8203
Mailing address
8828 N 31ST AVE, PHOENIX, AZ 85051-3999
(623) 915-8203
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN112797
AZ
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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