SearchMichigan163W00000X

Etoya Godbold

NPI 1124704002 · on the registry since 2023 · sole proprietor

Practice

Address
2521 N Elms Rd. Flushing,
Flushing, MI 48433
Phone
(866) 498-9099

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WA2000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan