Individual
MRS. CHANDRA. RENEE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
1927 S NATIONAL AVE, STE. A, SPRINGFIELD, MO 65804-2219
(417) 889-5353
(417) 889-5355
Mailing address
646 W EDGEWOOD ST, SPRINGFIELD, MO 65807-3419
(417) 889-5353
(417) 889-5355
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2006017552
MO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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