Individual
AUSTIN LEE BODILY-CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPSS
Contact information
Practice address
7001 EAST PKWY STE 100, SACRAMENTO, CA 95823-2501
(916) 634-3749
Mailing address
7001 EAST PKWY STE 100, SACRAMENTO, CA 95823-2501
(916) 634-3749
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-SBFIHR
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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