Individual
TUNESE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROTHETIC SPECIALIST
Contact information
Practice address
798 FORT CROOK RD S, BELLEVUE, NE 68005-2964
(402) 598-4443
Mailing address
6024 N 107TH ST, OMAHA, NE 68134-1044
(402) 598-4443
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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