Ashleigh E Bodell, PA-C
Physician Assistant in Modesto, CA. Individual provider (NPI-1).
NPI number1104079367
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1104079367
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ashleigh E Bodell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2008
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA20015 | CA | Yes |
Practice location
1340 Mitchell RdModesto, CA 95351-4920
Phone 209-517-9711 · Fax 209-581-9703
Mailing address
1702 Palermo DrHughson, CA 95326-8905
Phone 909-450-7058
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