Individual
COREY RYAN GOODPASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2208 KIRBY RD TRLR 123, MILTON, WV 25541-1086
(304) 617-8525
Mailing address
37 LENVILLE TER, MILTON, WV 25541-1111
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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