Individual
ALEXIS LATREESE BODDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15138 DALMAK GREEN DR, HUMBLE, TX 77346-5178
(847) 596-0189
Mailing address
15138 DALMAK GREEN DR, HUMBLE, TX 77346-5178
(847) 596-0189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1036954
TX
Other
Enumeration date
07/27/2024
Last updated
09/19/2024
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