Individual
NICOLE LYNN GOODNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FUNCTIONAL NUTRITION
Contact information
Practice address
W188S7710 OAK GROVE DR, MUSKEGO, WI 53150-8267
(414) 315-4595
Mailing address
W188S7710 OAK GROVE DR, MUSKEGO, WI 53150-8267
(414) 315-4595
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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