Individual
DANIEL ARTHUR GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
580 MOHAWK DR, BASELINE MEDICAL OFFICES, BOULDER, CO 80303-3712
(303) 614-1493
Mailing address
315 W COTA ST APT B, SANTA BARBARA, CA 93101-7051
(805) 962-5859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45858
CO
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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