Individual
RACHEL WOLFE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SPRUCE ST., PRESBYTERIAN MEDICAL GROUP - ESPANOLA, ESPANOLA, NM 87532
(505) 367-0340
(505) 367-0326
Mailing address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0340
(505) 367-0326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2014-0100
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2010
Last updated
10/31/2014
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