Individual
JAMIE BODEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 WHEATON WAY STE B, BREMERTON, WA 98310-3372
(360) 792-2020
Mailing address
2625 WHEATON WAY STE B, BREMERTON, WA 98310-3372
(360) 792-2020
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61116367
WA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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