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Mayra Ivette Godoy, Registered Nurse

Registered Nurse, Ambulatory Care in Los Angeles, CA. Individual provider (NPI-1).

NPI number1669202016
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1669202016
Entity type
Individual (NPI-1)
Name
Mrs. Mayra Ivette Godoy
Credential
Registered Nurse
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2024
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP2201X Registered Nurse, Ambulatory Care713872CAYes

Practice location

245 S Fetterly Ave
Los Angeles, CA 90022-1605

Phone 323-362-1048

Mailing address

245 S Fetterly Ave
Los Angeles, CA 90022-1605

Phone 323-362-1048

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