Individual
MRS. MICHELLE NICOLE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5821 JAMESON CT, CARMICHAEL, CA 95608-0890
(916) 486-0411
Mailing address
300 BENVENITO PL, LINCOLN, CA 95648-2972
(530) 701-3011
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
21997
CA
Other
Enumeration date
07/17/2013
Last updated
06/12/2014
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