Individual
EDDIE GOODWIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 N AURORA ST STE 7, STOCKTON, CA 95202-2276
(209) 888-4519
Mailing address
620 N AURORA ST STE 7, STOCKTON, CA 95202-2276
(209) 888-4519
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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