Most Relevant Information
Provider Data
| NPI Number: | 1003481912 |
| Provider Name: | ANGEL BODKIN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2021 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
1408 HARRISON AVE
ELKINS
WV
262413325
Practice Location Phone/Fax
| Phone: | 3046364390 |
| Fax: |
Provider Mailing Location
67 INDEPENDENCE DR
BRANDYWINE
WV
268028642
Provider Mailing Phone/Fax
| Phone: | 3046680627 |
| Fax: |