Individual
KIMBERLY ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CLIFF ST, MALDEN, MA 02148-1842
(781) 322-1938
Mailing address
66 CLIFF ST, MALDEN, MA 02148-1842
(781) 322-1938
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
57889
MA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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