Individual
BRENDON R GOODEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 628-0676
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 628-0676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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