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Individual

INGA NYKOLE GOODWINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2911 LANCASTER AVE, WILMINGTON, DE 19805-5226
(302) 428-9388
Mailing address
5 CHESTERTON DR, LANDENBERG, PA 19350-1162
(302) 428-9388
(302) 502-3813

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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