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Individual

TERRIE ALICE BODDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN

Contact information

Practice address
111 N CAUSEWAY BLVD, METAIRIE, LA 70001-5450
(504) 838-5100
Mailing address
2224 LITCHWOOD LN, HARVEY, LA 70058-2219
(504) 339-4496

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152303
LA

Other

Enumeration date
01/11/2022
Last updated
01/11/2022
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