Individual
ISAVELITA GOODEARLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 439-5000
Mailing address
1275 FRENCH CT, MILPITAS, CA 95035-6990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796935
CA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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