Individual
BERONICA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102B SUITE #2 4TH AVE SE, DECATUR, AL 35601
(356) 822-1300
Mailing address
937 SEWELL RD, TRINITY, AL 35673-6625
(256) 345-9753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-055526
AL
374U00000X
Home Health Aide
16395
AL
Other
Enumeration date
07/28/2016
Last updated
11/15/2022
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