Individual
GLORIA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2335
Mailing address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2335
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
30004115A
IN
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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