Organization
ADG NURSING, INC.
Active
Organization
ADG NURSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY D. GOODMAN CRNA (PRESIDENT)
(559) 436-0871
Entity
Organization
Contact information
Practice address
303 S. HALCYON ROAD, ARROYO GRANDE, CA 93420-3817
(559) 436-0871
(559) 436-5221
Mailing address
P.O. BOX 3037, PINEDALE, CA 93650-3037
(559) 436-0871
(559) 436-5221
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2974
CA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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