Individual
DANYELLE GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 CONATSER RD, GRIMSLEY, TN 38565-5004
(931) 863-7510
Mailing address
139 CONATSER RD, GRIMSLEY, TN 38565-5004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000176831
TN
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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