Individual
DANIELLE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4903 KAREN ISLE DR, RICHMOND HEIGHTS, OH 44143-1412
(216) 526-0076
Mailing address
4903 KAREN ISLE DR, RICHMOND HEIGHTS, OH 44143-1412
(216) 526-0076
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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