Most Relevant Information
Provider Data
| NPI Number: | 1003488628 |
| Provider Name: | DIANA A GODINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2021 |
| Last Updated: | 07/13/2021 |
Provider Practice Location
12 S 8TH ST
YAKIMA
WA
989013020
Practice Location Phone/Fax
| Phone: | 5094544143 |
| Fax: |
Provider Mailing Location
PO BOX 2605
YAKIMA
WA
989072605
Provider Mailing Phone/Fax
| Phone: | 5094544143 |
| Fax: | 5094544115 |