NPI 1003441130
Jennie Ivon Godoy
Practice location
- Address
- 1646 Farnam Pl, Pomona, CA 91766-5331
- Phone
- (909) 242-8543
- Mailing address
- 763 Rio Rancho Rd STE 120, Pomona, CA 91766-7015
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1003441130
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Mar 2020
- Record last updated
- 9 Mar 2020
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.