Individual
KATHLEEN GOODRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
04504121
NH
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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