Individual
DIANE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16416 HUNTMERE AVE, CLEVELAND, OH 44110-1551
(330) 313-0613
Mailing address
16416 HUNTMERE AVE, CLEVELAND, OH 44110-1551
(330) 313-0613
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.174148.MEDS-IV
OH
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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