Individual
MRS. JAMIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 LINCOLN WAY, COEUR D ALENE, ID 83814-2570
(208) 292-0697
Mailing address
PO BOX 3648, COEUR D' ALENE, ID 83816
(208) 292-0697
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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