Individual
MS. PAMELA JANE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
90 LOMBARD LN, SOUTH HERO, VT 05486-4302
(802) 372-4123
Mailing address
165 WENTWORTH ROAD, COLCHESTER, VT 05446
(802) 878-3178
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0250008725
VT
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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