Godley, Theresa

Godley, Theresa is an sole proprietor health care provider with primary practice located at 23701 E East Fork Rd , Azusa CA 91702-1477. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Godley, Theresa can be contacted via phone (626) 250-3300.

Contact Information

Primary practice address
23701 E East Fork Rd Azusa CA 91702-1477
Phone: (626) 250-3300
Fax: (626) 910-1380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1902142771
LBN Legal business name Godley, Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2012
Last updated Dec 21st, 2012 - 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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