Individual
LISA RENEE GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
6015 MOUNT VIEW RD, JUMPING BRANCH, WV 25969-9426
(304) 573-1554
Mailing address
125 MILL CREEK RD, MOUNT HOPE, WV 25880-1549
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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