Individual
JUANITA I. GOODEN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1524 MCHENRY AVE., MODESTO, CA 95350-4500
(209) 557-6200
(209) 557-6239
Mailing address
1524 MCHENRY AVE, MODESTO, CA 95350-4500
(209) 557-6200
(209) 557-6239
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
479300
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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