Individual
MRS. TRACY L MOTT-GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 COUNTRYSIDE DR, CHAGRIN FALLS, OH 44022-4104
(440) 725-9810
Mailing address
30 RIDGECREST DR, CHAGRIN FALLS, OH 44022-4218
(216) 308-0005
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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