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NPI Code Detail

MEDICARE: MISS PATRICIA LORRAINE GOODEN

MEDICARE:  MISS PATRICIA LORRAINE GOODEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851627723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PATRICIA LORRAINE GOODEN
Provider Business Mailing Address
First Line : 3815 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-3867
Country : US
Telephone Number : 530-491-3244
Fax Number :
Provider Business Practice Location Address
First Line : 3815 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-3867
Country : US
Telephone Number : 530-491-3244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 03/01/2018

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Directions to “ MISS PATRICIA LORRAINE GOODEN ” Practice Location

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