JEAN ANNETTE GOFORTH

SACRAMENTO, CA
NPI1568595031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  ota 1509)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Ms. JEAN ANNETTE GOFORTH COTA
4700 ELVAS AVE
SACRAMENTO, CA 95819-2250
Phone number: 916-454-4700
Mailing Address
Ms. JEAN ANNETTE GOFORTH COTA
6177 GREENHAVEN DR APT A
SACRAMENTO, CA 95831-1652
Phone number: 530-329-6854
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