Crystal Sade Goodman
Crystal Sade Goodman is a Personal Care Attendant in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3201 20th St S Apt 123Fargo, ND 58104-6529
Phone: (218) 329-0516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1508452269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | December 17, 2020 |
| Certification date | November 10, 2020 |
| Mailing address | 3201 20th St S Apt 123, Fargo, ND 58104-6529 |
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