Individual
JENNIFER GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 PONTIOUS LN APT A1, CIRCLEVILLE, OH 43113-2500
(740) 777-7142
Mailing address
108 GALE CT, CIRCLEVILLE, OH 43113-1502
(740) 777-7142
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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