Individual
PATRICIA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 MANNING RD, SUFFOLK, VA 23434-8581
(757) 537-3446
Mailing address
2317 MANNING RD, SUFFOLK, VA 23434-8581
(757) 537-3446
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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