Individual
KETRICIAN DIANA GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 NEW JERSEY AVE NW APT 419, WASHINGTON, DC 20001-1343
(850) 242-3020
Mailing address
1050 NEW JERSEY AVE NW APT 419, WASHINGTON, DC 20001-1343
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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