Individual
MELISSA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 TUCKER DR, GORHAM, ME 04038-5875
(207) 710-8440
Mailing address
15 TUCKER DR, GORHAM, ME 04038-5875
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R053950
ME
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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