Individual
NADINE DENISE GOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12429 PHILLIPS AVE, CLEVELAND, OH 44108-4045
(216) 466-4971
Mailing address
12429 PHILLIPS AVE, CLEVELAND, OH 44108-4045
(216) 466-4971
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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