Individual
CHRISTINA MARIE GOODISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1830 N LAKES PL, MERIDIAN, ID 83646-1921
(858) 354-7952
Mailing address
1830 N LAKES PL, MERIDIAN, ID 83646-1921
(858) 354-7952
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15397
CA
Other
Enumeration date
05/09/2013
Last updated
06/11/2020
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