Individual
AMANDA PEMBERTON GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-6636
Mailing address
1616 N CENTRAL AVE APT 1223, PHOENIX, AZ 85004-1656
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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