Individual
TARA GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 ISABELLA LN, GRANTS PASS, OR 97526-7302
(707) 254-5712
Mailing address
215 ISABELLA LN, GRANTS PASS, OR 97526-7302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
586659
CA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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