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Individual

MR. YOHANCE S GOODRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
719 N 25TH ST, RICHMOND, VA 23223-6539
(804) 643-0002
(804) 643-3106
Mailing address
8245 GRAVES RD, PETERSBURG, VA 23803-1209
(804) 712-2974

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/28/2009
Last updated
07/28/2009
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