Doctor Name: | WANDA MARIE GOOD |
NPI Number: | 1417286386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OS014746 |
Business Practice Address: | 1005 W Walnut St Suite #205 Yakima, WA - 989023360 |
Business Phone Number: | 5092486080 |
Business Fax Number: | 5095744401 |
Mailing Address: | 1005 W Walnut St, Suite #205 YAKIMA |
State: | WA |
Postal Code: | 989023360 |
Phone Number: | 5092486080 |
Fax Number: | 5095744401 |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | OS014746 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |