Individual
JENA R BODEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN,LD
Contact information
Practice address
318 CORSICANA ST, HILLSBORO, TX 76645-3037
(512) 964-6151
Mailing address
318 CORSICANA ST, HILLSBORO, TX 76645-3037
(512) 964-6151
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
951750
TX
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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