Individual
AMY GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2572 ABBY LN, DOVER, PA 17315-4503
(717) 870-0232
Mailing address
2572 ABBY LN, DOVER, PA 17315-4503
(717) 870-0232
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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