Individual
JANET L BODEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9301
Mailing address
5856 RICH ST, ALLENDALE, MI 49401-7409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704179650
MI
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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