AMY D GOODMAN

SAN LUIS OBISPO, CA
NPI1942292701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
(Licence: CA  2974)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NV  CRNA000233)
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  CRNA-183907)
Enumeration Date2005-08-18
Last Update Date2016-06-01
Business Address
-- AMY D GOODMAN CRNA
1375 OAKWOOD CT
SAN LUIS OBISPO, CA 93401-5918
Phone number: 970-379-5531
Mailing Address
-- AMY D GOODMAN CRNA
PO BOX 3037
PINEDALE, CA 93650-3037
Phone number: 970-379-5531