Wanda Jean Goodrich

NPI #1194356576 in Kennett, Missouri

Provider Information

NPI Number
1194356576
Entity Type
Individual
Name
Wanda Jean Goodrich
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 4, 2020
Last Updated
Feb 4, 2020

Practice Location

Address
935 STATE ROUTE VV
ZIP Code
63857-3822
Phone
(573) 888-5925

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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