Individual
JULIE GOISET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 N PROSPECT AVE STE 208, REDONDO BEACH, CA 90277-3030
(310) 529-7557
Mailing address
17701 AVALON BLVD, SPC 95, CARSON, CA 90746-1554
(310) 529-7557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43152
CA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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