Individual
JESSICA GODOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 S GAYLORD ST, DENVER, CO 80209-4630
(303) 725-2974
Mailing address
750 S GAYLORD ST, DENVER, CO 80209-4630
(303) 725-2974
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0189685
CO
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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