Antoinette M Goodman
Student in an Organized Health Care Education/Training Program in Minneapolis, MN. Individual provider (NPI-1).
NPI number1801409396
StatusActive
Last updated in NPPESAug 25, 2020
Details
- NPI
- 1801409396
- Entity type
- Individual (NPI-1)
- Name
- Antoinette M Goodman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Aug 25, 2020
- Last updated
- Aug 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2800 Freeway Blvd Ste 105Minneapolis, MN 55430-1751
Phone 612-430-9298 · Fax 833-736-7476
Mailing address
2800 Freeway Blvd Ste 105Minneapolis, MN 55430-1751
Phone 612-430-9298 · Fax 833-736-7476
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