Individual
CHARLENE MAY GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1054 2ND ST, ENCINITAS, CA 92024-5009
(858) 901-7316
Mailing address
1394 DANDELION WAY, SAN MARCOS, CA 92078-0801
(808) 358-7423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54658
CA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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