SearchMaryland103TS0200X

Tracy Goodwin

NPI 1407735517 · on the registry since 2025 · sole proprietor

Practice

Address
4351 58th Ave
Bladensburg, MD 20710
Phone
(703) 629-1250

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-02

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 Maryland