Individual
WINIFRED GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SKIPPER DR, MANDEVILLE, LA 70471-3024
(985) 626-5225
(985) 626-5298
Mailing address
1 SKIPPER DR, MANDEVILLE, LA 70471-3024
(985) 626-5225
(985) 626-5298
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041220
LA
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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