Individual
BRITTANY R GOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5845 W BELL RD, GLENDALE, AZ 85308-3800
(602) 942-1475
Mailing address
5845 W BELL RD, GLENDALE, AZ 85308-3800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO-003275
AZ
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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