Individual
MR. CLIFTON PAUL GOODENOUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6320 W CORTEZ ST, GLENDALE, AZ 85304-3123
(602) 277-5551
Mailing address
6320 W CORTEZ ST, GLENDALE, AZ 85304-3123
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN086954
AZ
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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