Individual
NATHANIEL BODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ENTER AT W. FIFTH AND 1531 ESPLANADE, MAGNOLIA AVE, CHICO, CA 95926
(971) 219-8279
Mailing address
1413 SPRUCE AVE, CHICO, CA 95926-3479
(971) 219-8279
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65188
CA
Other
Enumeration date
02/01/2023
Last updated
10/21/2024
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