Individual
LINDA KAY GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7804 CLEVEDON ST, SAINT LOUIS, MO 63123-3822
(314) 481-8485
Mailing address
7804 CLEVEDON ST, SAINT LOUIS, MO 63123-3822
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
3155043
MO
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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