Individual
VICTORIA L GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 321-0101
(636) 296-0101
Mailing address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 321-0101
(636) 296-0101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010032651
MO
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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