Individual
MICAH VERONICA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3704 MARRIOTTSVILLE RD, RANDALLSTOWN, MD 21133-2402
(443) 977-2066
Mailing address
3704 MARRIOTTSVILLE RD, RANDALLSTOWN, MD 21133-2402
(443) 977-2066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R244861
MD
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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