Individual
AMBER GOODENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 HORNER LN, ONE CHILDREN'S HOSPITAL DRIVE, LATROBE, PA 15650-5215
(724) 537-2131
Mailing address
108 HORNER LN, ONE CHILDREN'S HOSPITAL DRIVE, LATROBE, PA 15650-5215
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TMA053110
PA
Other
Enumeration date
09/06/2016
Last updated
05/24/2021
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