Individual
BRENDA LOUISE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
(509) 543-2488
Mailing address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
(509) 543-2488
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319100600,
MEDICARE GROUP
—
Enumeration date
07/24/2007
Last updated
11/14/2018
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