Individual
LARISSA C GOODE-GOINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
Mailing address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69958
NM
Other
Enumeration date
02/15/2023
Last updated
05/04/2023
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