Individual
JAIMI GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3523 CLEMSON BLVD, ANDERSON, SC 29621-1312
(864) 332-1290
Mailing address
3523 CLEMSON BLVD, ANDERSON, SC 29621-1312
(864) 332-1290
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
3401
SC
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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