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Organization
LAGUNA FAMILY PRACTICE, INC
Active
Organization
LAGUNA FAMILY PRACTICE, INC
Active
Other names
Laguna Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA GOODWIN M.D. (OWNER)
(916) 691-4300
Entity
Organization
Contact information
Practice address
9281 OFFICE PARK CIR, SUITE 120, ELK GROVE, CA 95758-8068
(916) 691-4300
(916) 691-4302
Mailing address
9281 OFFICE PARK CIR, SUITE 120, ELK GROVE, CA 95758-8068
(916) 691-4300
(916) 691-4302
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A71660
CA
Other
Enumeration date
04/26/2010
Last updated
08/10/2011
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