Individual
DANIEL RAY GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 KILBOURN AVE, TOMAH, WI 54660-2013
(608) 387-4774
Mailing address
702 KILBOURN AVE, TOMAH, WI 54660-2013
(608) 387-4774
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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