Individual
RHONISSIA GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 GLEN ECHO RD, FREDERICK, MD 21703-4540
(240) 578-4294
(469) 398-0478
Mailing address
615 GLEN ECHO RD, FREDERICK, MD 21703-4540
(240) 578-4294
(469) 398-0478
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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