Individual
MAHALIA LEONTINE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EYE SPECIALIST
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(800) 261-7193
(334) 255-7710
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(800) 261-7193
(334) 255-7710
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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