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Individual

NICOLE H GOODRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
20801 N SCOTTSDALE RD, #205, SCOTTSDALE, AZ 85255
(602) 770-7611
(480) 505-3077
Mailing address
4904 S. POWER RD, #103-188, MESA, AZ 85212
(602) 770-7611
(480) 505-3077

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
AZ

Other

Enumeration date
03/10/2009
Last updated
03/19/2015
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