Individual
DIANNE GOUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24391 AVENIDA DE LA CARLOTA APT 495, LAGUNA HILLS, CA 92653-7660
(208) 934-3700
Mailing address
24391 AVENIDA DE LA CARLOTA APT 495, LAGUNA HILLS, CA 92653-7660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-15026
CA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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