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Individual

ANGELICA JAZMIN GODINEZ GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
230 ROWE RD, WHEELER, OR 97147-0035
(800) 368-5182
(844) 712-3001
Mailing address
PO BOX 176, WHEELER, OR 97147-0176
(800) 368-5182
(844) 712-3001

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000104336
OR

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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