Individual
COURTNEY ELIZABETH GOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-2848
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23816
CA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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