Individual
MARIJO GOODSITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
134 GREENWOOD HTS, BELLEVUE, OH 44811-1049
(419) 217-0061
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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