Individual
IGNACE EUGENE GODONOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 559-5967
(215) 707-4366
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 559-5967
(215) 707-4366
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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