Individual
MR. REGINALD GERALD GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC.,L.AC.
Contact information
Practice address
8388 COURT AVE, SUITE 202, ELLICOTT CITY, MD 21043-4514
(443) 675-8806
Mailing address
5 KEW GARDEN COURT, BALTIMORE, MD 21244-8086
(443) 675-8806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01879
MD
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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