Individual
BRENDA F GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 HAWES DR, CHARLESTON, WV 25306-6511
(304) 926-6235
Mailing address
629 HAWES DR, CHARLESTON, WV 25306-6511
(304) 926-6235
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
05/04/2022
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