Individual
MRS. REBECCA DIANE GOODBREAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
10513 WOOSTER DR, JACKSONVILLE, FL 32218-5234
(904) 640-6342
Mailing address
10513 WOOSTER DR, JACKSONVILLE, FL 32218-5234
(904) 640-6342
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
388932
FL
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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