Individual
CLARISSA ELIZABETH GOODFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3170 DICKINSON AVE, CHEVIOT, OH 45211-2702
(513) 827-8499
Mailing address
3170 DICKINSON AVE, CHEVIOT, OH 45211-2702
(513) 827-8499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
IN28195766A
IN
163W00000X
Registered Nurse
KY1120070
KY
163W00000X
Registered Nurse
Primary
RN245490
OH
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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