Individual
MADELAINE C BODHOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 W HUFFAKER LANE, STE 105, RENO, NV 89511-2092
(775) 852-4342
(775) 852-9136
Mailing address
7200 LINGFIELD DRIVE, RENO, NV 89502-9661
(775) 857-7854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0012
NV
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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