Jacqueline Venora Goodgame, LPN
NPI #1073009627 in Southfield, Michigan
Provider Information
- NPI Number
- 1073009627
- Entity Type
- Individual
- Name
- Jacqueline Venora Goodgame, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 6, 2018
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 4000 TOWN CTR
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075
- Phone
- (248) 386-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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