Individual
ELIZABETH KAY GOODYEAR
Active
Individual
ELIZABETH KAY GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
433005
CA
163WL0100X
Lactation Consultant (Registered Nurse)
433005
CA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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