Individual
AMANDA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37307 N 17TH AVE, PHOENIX, AZ 85086-9592
(480) 489-7592
Mailing address
37307 N 17TH AVE, PHOENIX, AZ 85086-9592
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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