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J'Angelique Boddie

NPI 1326864836 · on the registry since 2024 · sole proprietor

Practice

Address
6116 Mcnaughten Ctr
Columbus, OH 43232
Phone
(614) 483-9192
Fax
(614) 861-4601
Organisation at this address
Angelo Defalco
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio