Crettaz Goudy, Jessica

Crettaz Goudy, Jessica is an sole proprietor health care provider with primary practice located at 2364 Garganey Ave , North Las Vegas NV 89084-3781. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Crettaz Goudy, Jessica can be contacted via phone (503) 830-7595.

Contact Information

Primary practice address
2364 Garganey Ave North Las Vegas NV 89084-3781
Fax:
Website:

Profile Details

NPI number 1114356391
LBN Legal business name Crettaz Goudy, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2013
Last updated Nov 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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