Individual
GODI B JASHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RTT
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, PFS BUSINESS OFFICE, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
4401006986
MI
227900000X
Registered Respiratory Therapist
9702658-5701
UT
227900000X
Registered Respiratory Therapist
RC2581
NV
227900000X
Registered Respiratory Therapist
Primary
RCP14917
OH
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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