NPI 1073009627
Jacqueline Venora Goodgame, LPN
Practice location
- Address
- 4000 Town Ctr, Southfield, MI 48075
- Phone
- (248) 386-0300
- Mailing address
- 4000 Town Ctr, Southfield, MI 48075-1410
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1073009627
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jul 2018
- Record last updated
- 16 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.