Individual
MAKENNA ALYSON GOODNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
907 SAVANNAH RD, DOVER, DE 19901-3228
(302) 943-4946
Mailing address
907 SAVANNAH RD, DOVER, DE 19901-3228
(302) 943-4946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
DE
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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