Individual
MRS. WILMA JEAN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
#436 5TH AVE, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Mailing address
PO BOX 88, KOTZEBUE, AK 99752-0088
(907) 442-3557
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
10983
AK
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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