Individual
ALYSSA ROSE GOEDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1961 PREMIER DR STE 340, MANKATO, MN 56001-6839
(507) 345-8591
Mailing address
1632 JAMES DR, NORTH MANKATO, MN 56003-1934
(507) 848-1996
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2414607
MN
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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