Tera Lynn Bodo, RN
Registered Nurse in San Clemente, CA. Individual provider (NPI-1).
NPI number1013127042
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013127042
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tera Lynn Bodo
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 538369 | CA | Yes |
Practice location
50 Via SonrisaSan Clemente, CA 92673-5669
Phone 949-366-0753 · Fax 949-366-0753
Mailing address
50 Via SonrisaSan Clemente, CA 92673-5669
Phone 949-366-0753 · Fax 949-366-0753
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All 7 Registered Nurse providers in San Clemente · All 1,327 providers in San Clemente
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