Individual
MS. CARRIE GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N. 200 EAST, CEDAR CITY, UT 84720
(435) 865-6481
Mailing address
54 N. 200 EAST, CEDAR CITY, UT 84720
(435) 865-6481
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
35038888-3503
UT
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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