Individual
JAN LAUREL GOODSON CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-3101
Mailing address
12901 DALE ST APT 13, GARDEN GROVE, CA 92841-5044
(916) 224-2884
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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