Individual
LARONDA BODDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1094 MOSS GROVE DR, MONCKS CORNER, SC 29461-7454
(843) 708-0342
Mailing address
1094 MOSS GROVE DR, MONCKS CORNER, SC 29461-7454
(843) 708-0342
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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