Individual
MRS. PENNY MARIE GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
532 W MAIN ST, LURAY, VA 22835-1027
(540) 244-5509
Mailing address
532 W MAIN ST, LURAY, VA 22835-1027
(540) 244-5509
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1401135973
VA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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