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Individual

MRS. VICTORIA GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., R.D., LDN

Contact information

Practice address
12054 GLENFIELD RD, PHILADELPHIA, PA 19154-2815
(215) 255-5452
Mailing address
12054 GLENFIELD RD, PHILADELPHIA, PA 19154-2815
(215) 255-5452

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1053925
PA

Other

Enumeration date
06/04/2015
Last updated
04/29/2016
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