Individual
ANGELLE N BODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 STUMPF BLVD BLDG 1 STE 1, GRENTA, LA 70056-3950
(504) 249-2239
Mailing address
1799 STUMPF BLVD STE 1, TERRYTOWN, LA 70056-3950
(504) 249-2239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
009776805
LA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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