Carrie Gooden
Technician, Other in Cedar City, UT. Individual provider (NPI-1).
NPI number1679800981
StatusActive
Last updated in NPPESNov 6, 2009
Details
- NPI
- 1679800981
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carrie Gooden
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2009
- Last updated
- Nov 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 35038888-3503 | UT | Yes |
Practice location
54 N. 200 EastCedar City, UT 84720
Phone 435-865-6481
Mailing address
54 N. 200 EastCedar City, UT 84720
Phone 435-865-6481
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