Individual
AILEEN GODAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 CONRAD LN, TAOS, NM 87571-6812
(575) 770-1055
Mailing address
PO BOX 724, EL PRADO, NM 87529-0724
(575) 770-1055
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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