MISS Marisa Alana Goddard, CNIM
NPI #1275839128 in Sugar Land, Texas
Provider Information
- NPI Number
- 1275839128
- Entity Type
- Individual
- Name
- MISS Marisa Alana Goddard, CNIM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Credential
- CNIM
- Enumeration Date
- Feb 9, 2011
- Last Updated
- Jun 23, 2011
Practice Location
- Address
- 11405 WHITE FORGE CT
- City
- Sugar Land
- State
- Texas
- ZIP Code
- 77498-0903
- Phone
- (817) 845-7205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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