Individual
MS. PHYLLIS JEAN GOLDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
929 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6185
Mailing address
2408 PATTON CT, PLACERVILLE, CA 95667-3523
(530) 626-1388
Taxonomy
Speciality
Code
Description
License number
State
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
360875
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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