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Individual

MRS. GLENDA DARLENE GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1106 WINDFIELD WAY, SUITE 2, EL DORADO HILLS, CA 95762-9360
(916) 941-6500
(916) 691-4300
Mailing address
1106 WINDFIELD WAY, SUITE 2, EL DORADO HILLS, CA 95762-9360
(916) 941-6500
(916) 691-4300

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A71660
CA
207V00000X
Obstetrics & Gynecology Physician
A71660
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A716600
CA
Enumeration date
03/30/2006
Last updated
04/19/2013
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