MRS. Jesse Loretta Bodine

NPI #1699928036 in De Queen, Arkansas

Provider Information

NPI Number
1699928036
Entity Type
Individual
Name
MRS. Jesse Loretta Bodine
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 29, 2008
Last Updated
Oct 29, 2008

Practice Location

Address
1312 W COLLIN RAYE DR
ZIP Code
71832-2135
Phone
(870) 584-7115

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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