Individual
RYAN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 533-8500
Mailing address
4002 OBSIDIAN RD, SAN BERNARDINO, CA 92407-0461
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002106
CA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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