Individual
KATHRYN DEENA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6801 COLDWATER CANYON AVE, VALLEY COMMUNITY CLINIC, NORTH HOLLYWOOD, CA 91605
(818) 301-6320
(818) 766-8352
Mailing address
1912 TOPAZ AVE, VENTURA, CA 93004-3157
(954) 536-7422
(805) 323-5644
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
NP# 1691
CA
364SW0102X
Women's Health Clinical Nurse Specialist
RN # 312998
CA
Other
Enumeration date
10/23/2006
Last updated
04/13/2012
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