Whalio Doctors

NPI 1457721615

Gooden Foundation INC.

Organisation Voluntary or Charitable Agency Las Vegas, NV

Practice location

Address
3081 S Valley View Blvd, Las Vegas, NV 89102-7890
Phone
(702) 910-3230
Fax
(702) 910-3231
Mailing address
5546 Camino Al Norte # 2-333, North Las Vegas, NV 89031-0805

Authorised official

Name
Jshauntae Marshall
Title
Treasurer
Phone
(702) 337-4793

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence NV20141521118 (NV)

Registry record

NPI
1457721615
Entity type
Organization
NPI issued
30 Sep 2015
Record last updated
30 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.