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Shantia Goodwin

NPI 1417346099 · on the registry since 2015 · sole proprietor

Practice

Address
2495 W March Ln
Stockton, CA 95207
Phone
(209) 465-1080
Organisation at this address
Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
277

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2015-01-20

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 California