Good Life INC

NPI #1417156415 in Anthem, Arizona

Provider Information

NPI Number: 1417156415
Entity Type: Organization
Organization Name: Good Life INC
Primary Specialty: Chiropractor
Enumeration Date: Jul 11, 2007
Last Updated: Jul 11, 2007

Practice Location

Address: 3624 W ANTHEM WAY
Address 2: SUITE C-110
City: Anthem
State: Arizona
ZIP Code: 85086-0440
Phone: (623) 551-9950

Authorized Official

Name: DR. LAWRENCE LARRAGOITE, D.C.
Title: VICE-PRESIDENT
Phone: (623) 551-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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