Individual
JENNIFER M GOODHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 E LOUISE DR, MERIDIAN, ID 83642-6302
(208) 706-7050
Mailing address
3525 E LOUISE DR, MERIDIAN, ID 83642-6302
(208) 706-7050
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
36050
ID
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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