Individual
MRS. GEOGETTE J GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(248) 302-7452
Mailing address
16182 BILTMORE ST, DETROIT, MI 48235-3433
(248) 302-7452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704416670
MI
Other
Enumeration date
09/06/2024
Last updated
02/21/2025
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