DIANE RENE GODMAN

SALEM, VA
NPI1649237454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110001198)
Enumeration Date2006-04-26
Last Update Date2011-11-29
Business Address
-- DIANE RENE GODMAN PA-C
1970 BOULEVARD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
-- DIANE RENE GODMAN PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463