Bodzio, Jessica Rae

Bodzio, Jessica Rae is an individual health care provider with primary practice located at 189 Bob Black Rd , Lake Ariel PA 18436-4508. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bodzio, Jessica Rae can be contacted via phone (570) 840-2264.

Contact Information

Primary practice address
189 Bob Black Rd Lake Ariel PA 18436-4508
Phone: (570) 840-2264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN003249 Pennsylvania

Profile Details

NPI number 1588141121
LBN Legal business name Bodzio, Jessica Rae
Credentials MS,RDN,LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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