Individual
ANTOINETTE M GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 FREEWAY BLVD STE 105, MINNEAPOLIS, MN 55430-1751
(612) 430-9298
(833) 736-7476
Mailing address
2800 FREEWAY BLVD STE 105, MINNEAPOLIS, MN 55430-1751
(612) 430-9298
(833) 736-7476
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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