| NPI | 1427831973 |
|---|---|
| Doing Business As | LIVWELL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREA DENISE GOODWIN Owner And Medical Director 607-434-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |