Most Relevant Information
Provider Data
| NPI Number: | 1003481888 |
| Provider Name: | ELIZABETH ANNE GODINHO |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2021 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
436 PEBBLE BEACH WAY
EAGLE
ID
836165184
Practice Location Phone/Fax
| Phone: | 2088919743 |
| Fax: |
Provider Mailing Location
436 PEBBLE BEACH WAY
EAGLE
ID
836165184
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |