Tera Lynn Bodo RN

NPI 1013127042 - Registered Nurse - 163W00000X

NPI Details
NPI 1013127042
Gender Female
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
50 VIA SONRISA
SAN CLEMENTE CA, 92673-5669, US
Phone (949) 366-0753
Fax (949) 366-0753
Business Location
50 VIA SONRISA
SAN CLEMENTE CA, 92673-5669, US
Phone (949) 366-0753
Fax (949) 366-0753
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 538369
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According to our database, Mrs. Tera Lynn Bodo RN NPI is 1013127042, taxonomy code is 163W00000X and license number is 538369, license state is located at California. Tera Lynn Bodo RN physically located at 50 Via Sonrisa, San Clemente CA, 92673-5669. NPI Number Tera Lynn Bodo RN has the Individual type.

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1013127042 NPI number is provided on an as is basis without warranty of any kind. 1013127042 is maintained by the National Plan & Provider Enumeration System. The contents of Tera Lynn Bodo RN are for informational purposes only.