Organization
MATHER VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOREEN M GOODIN NP (FNP)
(916) 366-5450
Entity
Organization
Contact information
Practice address
8607 OLIVEWOOD CT, FAIR OAKS, CA 95628-6317
(917) 967-7176
Mailing address
8607 OLIVEWOOD CT, FAIR OAKS, CA 95628-6317
(917) 967-7176
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14656
CA
Other
Enumeration date
11/23/2005
Last updated
11/05/2007
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