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Ronnie Bodden, MC15772 SC10033

NPI 1942874243 · on the registry since 2021 · sole proprietor

Practice

Address
2650 Willowbrook Ave
Richland, WA 99352
Phone
(509) 578-4665

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-19

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 Washington