Individual
JENNIFER ANN GOUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3250 W 66TH ST, SUITE 100, EDINA, MN 55435-2528
(952) 920-0970
(952) 922-1605
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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