Individual
DIANNE GOODRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12381 N GRANVILLE CANYON WAY, ORO VALLEY, AZ 85755-6641
(520) 306-1855
Mailing address
12381 N GRANVILLE CANYON WAY, ORO VALLEY, AZ 85755-6641
(520) 306-1855
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1080
AZ
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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