Individual
KRISTINE GOODWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 VERMONT AVE, PORTSMOUTH, VA 23707-1417
(757) 652-9255
Mailing address
1010 VERMONT AVE, PORTSMOUTH, VA 23707-1417
(757) 652-9255
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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