Individual
MRS. ALISON RENEE GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN M-IV
Contact information
Practice address
525 GEORGETOWN AVE, A-11, ELYRIA, OH 44035-3858
(440) 822-9966
Mailing address
525 GEORGETOWN AVE, A-11, ELYRIA, OH 44035-3858
(440) 822-9966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.127975-M-IV
OH
Other
Enumeration date
03/25/2012
Last updated
03/25/2012
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