Larrese Gooden

NPI #1194462531 in Antioch, California

Provider Information

NPI Number: 1194462531
Entity Type: Individual
Name: Larrese Gooden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 17, 2022
Last Updated: May 17, 2022

Practice Location

Address: 2335 COUNTRY HILLS DR
City: Antioch
State: California
ZIP Code: 94509-7319
Phone: (925) 812-1269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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