Mahalia Leontine Goodman, EYE SPECIALIST Valid NPI

Individual provider · Optometric Technician · Fort Rucker, AL

NPI

1275169088

Type

Individual (Type 1)

Primary specialty

Optometric Technician (Technician/Technologist)

Specialty group

Eye and Vision Services Providers

Taxonomy code

156FX1202X

Sex

Female

Sole proprietor

No

Enumerated

2020-03-13

Last updated

2020-03-13