Individual
JADA MAKEL GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
151 S WALNUT ST STE A5, LAS CRUCES, NM 88001-2613
(575) 288-1412
Mailing address
855 E UNIVERSITY AVE APT 637, LAS CRUCES, NM 88001-6615
(575) 791-9691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009736
NM
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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