Individual
JEAN ETTA GOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 E 115TH ST, GARFIELD HEIGHTS, OH 44125-2831
(216) 201-9281
Mailing address
5022 E 115TH ST, GARFIELD HEIGHTS, OH 44125-2831
(216) 201-9281
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
GSA9358
OH
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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