Individual
ELIZABETH ANNE GODINHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 PEBBLE BEACH WAY, EAGLE, ID 83616-5184
(208) 891-9743
Mailing address
436 PEBBLE BEACH WAY, EAGLE, ID 83616-5184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
About Stedi
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