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Alice Rose Bodlak, RN
Case Management Registered Nurse in San Luis Obispo, California
NPI 1164603569

Alice Rose Bodlak is a Case Management Registered Nurse based in San Luis Obispo, CA and is specialized in Case Management. Alice Rose Bodlak practices in San Luis Obispo, CA and has the professional credentials of RN. The NPI Number for Alice Rose Bodlak is 1164603569 and holds a License No. RN484275 (California).

The current practice location address for Alice Rose Bodlak is 2191 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-1744.

Location: 2191 Johnson Ave, San Luis Obispo, CA, 93401-4534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164603569
Provider Name
Alice Rose Bodlak
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2191 Johnson Ave, San Luis Obispo, CA, 93401-4534
Phone Number
805-781-1744
Fax Number
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2191 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4534
Phone Number
805-781-1744
Fax Number
person
Provider Business Mailing Address Details
Address
2191 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4534
Phone Number
805-781-1744
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
RN484275 (California)
Definition
Definition to come...
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