Victoria L Goodman LPN

NPI 1073802302 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073802302
Gender Female
Enumeration Date 04/07/2011
Last Updated 04/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
227 E MAIN ST
FESTUS MO, 63028-1952, US
Phone (636) 321-0101
Fax (636) 296-0101
Business Location
227 E MAIN ST
FESTUS MO, 63028-1952, US
Phone (636) 321-0101
Fax (636) 296-0101
Toxanomy
Taxonomy Code 164W00000X
License State Missouri
License Number 2010032651
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According to our database, Victoria L Goodman LPN NPI is 1073802302, taxonomy code is 164W00000X and license number is 2010032651, license state is located at Missouri. Victoria L Goodman LPN physically located at 227 E Main St, Festus MO, 63028-1952. NPI Number Victoria L Goodman LPN has the Individual type.

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1073802302 NPI number is provided on an as is basis without warranty of any kind. 1073802302 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria L Goodman LPN are for informational purposes only.