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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAVEONA JANEA BODDIE

Active

JAVEONA JANEA BODDIE is a Community Health Worker healthcare provider located in SOUTH SAN FRANCISCO, California. NPI 1619684156 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · SOUTH SAN FRANCISCO, CA

Registration Details

NPI Number
1619684156
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2022 (3.7916066316894 yrs)
Last Updated
May 3, 2023
License
1619684156 (CA)

Practice Information

Address
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA, 940804557
Browse CA providers · Browse ZIP 94080
Phone
6289465222
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in SOUTH SAN FRANCISCO, CA

Name Credential NPI
MICHAEL RONALL DUNN 1346419819
MELISIA SHANKLIN 1811388168
CAMERON GEISLER 1740657394
DOUGLAS TOM IMURA 1790213767
NICHOLAS GARCIA 1497249502
KATRINA M ANDREY 1891278313
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.