Individual
SAMMIE S BODISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
137 ARGYLE GATE LOOP RD, DUNDEE, FL 33838-4433
(863) 845-0310
Mailing address
137 ARGYLE GATE LOOP RD, DUNDEE, FL 33838-4433
(863) 845-0310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5209122
FL
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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