Individual
MS. DANIELLE BODDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
(317) 978-1641
Mailing address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28243685A
IN
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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