SearchOhio376K00000X

Nadine Goodrum

NPI 1760754667 · on the registry since 2012 · sole proprietor

Practice

Address
12429 Phillips Ave
Cleveland, OH 44108
Phone
(216) 466-4971

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-08

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 Ohio