Individual
RONNIE SHEEN BODDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC15772 SC10033
Contact information
Practice address
2650 WILLOWBROOK AVE, RICHLAND, WA 99352-8721
(509) 578-4665
Mailing address
2650 WILLOWBROOK AVE, RICHLAND, WA 99352-8721
(509) 578-4665
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC15772
WA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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