Individual
SHEILA F GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
(248) 542-2424
Mailing address
20948 SEMINOLE ST, SOUTHFIELD, MI 48033-3552
(248) 763-5847
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703062554
MI
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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