Individual
CYNTHIA LEE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. B.S.N.
Contact information
Practice address
887 PALMETTO AVE, CHICO, CA 95926-4078
(530) 342-4525
Mailing address
887 PALMETTO AVE, CHICO, CA 95926-4078
(530) 342-4525
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
462950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS012520
—
CA
05
—
RVN001110
—
CA
Enumeration date
10/04/2006
Last updated
12/12/2007
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