Individual
KAWANA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8216 PEAR RD, JACKSONVILLE, FL 32210-3474
(904) 446-0318
Mailing address
8216 PEAR RD, JACKSONVILLE, FL 32210-3474
(904) 446-0318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5179299
FL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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