Individual
BETH GOODRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
931 10TH ST STE 771, MODESTO, CA 95354-2305
(209) 771-4717
Mailing address
612 SYCAMORE AVE, MODESTO, CA 95354-0151
(650) 954-7946
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
913425
CA
Other
Enumeration date
01/25/2007
Last updated
11/03/2023
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