Individual
CHANEL D GODONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 L ST SW, CEDAR RAPIDS, IA 52404-3536
(319) 550-6932
Mailing address
2548 L ST SW, CEDAR RAPIDS, IA 52404-3536
(319) 550-6932
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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