Canandra Goodall
Canandra Goodall is an Attendant Care Provider in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.
- Licensed in
- IN
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9165 Otis Ave Ste 229Indianapolis, IN 46216-2321
Phone: (317) 455-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X · Licence 23016345-1 (IN) |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X (IN) |
Record details
| NPI number | 1225886856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 8, 2024 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
| Mailing address | 9165 Otis Ave Ste 229, Indianapolis, IN 46216-2321 |
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