Organization
LAGUNA FAMILY PRACTICE, INC
Active
Other names
Laguna Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA GOODWIN M.D. (OWNER)
(916) 691-4300
Entity
Organization
Contact information
Practice address
9281 OFFICE PARK CIR, SUITE 120, ELK GROVE, CA 95758-8068
(916) 691-4300
(916) 691-4302
Mailing address
9281 OFFICE PARK CIR, SUITE 120, ELK GROVE, CA 95758-8068
(916) 691-4300
(916) 691-4302
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A71660
CA
Other
Enumeration date
04/26/2010
Last updated
08/10/2011
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