Individual
MS. JENNIFER ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
(818) 582-8836
Mailing address
18400 COLLINS ST APT 37, TARZANA, CA 91356-2329
(818) 294-8405
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN738238
CA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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