Individual
JAIMIE TERRA GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(315) 220-0057
Mailing address
PO BOX 2170, WHITE CITY, OR 97503-0170
(315) 220-0057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017027656
MO
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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