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Individual
MARIETTA GOODLIFF
Active
Individual
MARIETTA GOODLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G341546706010
DRIVERS LICENSES
FL
Enumeration date
05/25/2016
Last updated
12/29/2022
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