Individual
NANCY GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 788-2065
Mailing address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 788-2065
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
292015
CA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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