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Penny Goudelock, PA
NPI 1043433352 · on the registry since 2007
Practice
- Address
- 1100 Pacific Ave
Suite 202
Everett, WA 98201 - Phone
- (425) 388-4075
- Organisation at this address
- Gregory A Hanson Dds Ps
Proliance Surgeons, Inc., P.S.
Proliance Surgeons, Inc., P.S.
Outpatient Anesthesia Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington