Individual
JEANETTE CHRISTINE GOODYEAR-LEIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1401 W PIERCE ST, CARLSBAD, NM 88220-4024
(575) 887-0572
(575) 887-8278
Mailing address
1401 W PIERCE ST, CARLSBAD, NM 88220-4024
(575) 887-0572
(575) 887-8278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5560
NM
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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