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Individual

MR. CHRISTOPHER MICHAEL GOODRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CISSP-ISSEP

Contact information

Practice address
308 PEQUIN TRL SE, ALBUQUERQUE, NM 87123-2174
(505) 227-6130
Mailing address
308 PEQUIN TRL SE, ALBUQUERQUE, NM 87123-2174
(505) 227-6130

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1T3412
NM
163WA2000X
Administrator Registered Nurse
1T3412
NM
163WC0400X
Case Management Registered Nurse
1T3412
NM
163WH0200X
Home Health Registered Nurse
1T3412
NM
164W00000X
Licensed Practical Nurse
1T3412
NM
372500000X
Chore Provider
1T3412
NM
372600000X
Adult Companion
1T3412
NM
3747P1801X
Personal Care Attendant
1T3412
NM
374U00000X
Home Health Aide
Primary
1T3412
NM
376J00000X
Homemaker
1T3412
NM
376K00000X
Nurse's Aide
1T3412
NM

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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