Individual
KATHRYN L BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8501 RANCHO DEL CERRO DR NE, ALBUQUERQUE, NM 87113-2076
(505) 480-3290
Mailing address
8501 RANCHO DEL CERRO DR NE, ALBUQUERQUE, NM 87113-2076
(505) 480-3290
(505) 207-1372
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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