Individual
MR. RICHARD VAN GOETHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25143 JACK RABBIT ACRES, ESCONDIDO, CA 92026-1267
(760) 556-8648
(619) 398-2168
Mailing address
25143 JACK RABBIT ACRES, ESCONDIDO, CA 92025, SAN DIEGO, CA 92025
(760) 566-8648
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
465143
CA
Other
Enumeration date
04/15/2008
Last updated
04/07/2023
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