Individual
MRS. DEBORA KAY GOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
Mailing address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN062343
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572926
—
AZ
Enumeration date
04/16/2007
Last updated
10/29/2007
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