Individual
MRS. SANDRA LYNN MUNDY GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA C SURGICAL ASSIST
Contact information
Practice address
12300 MCCRACKEN RD, MARYMOUNT HOSPITAL, GARFIELD HTS, OH 44125-2914
(216) 587-8200
(216) 587-6715
Mailing address
12300 MCCRACKEN RD, MARYMOUNT HOSPITAL, GARFIELD HTS, OH 44125-2914
(216) 587-8200
(216) 587-6715
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
078114
OH
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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