Individual
ALLYSE BRITTANY GOOLSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26757 LAKEVUE DR APT 24, PERRYSBURG, OH 43551-3304
(419) 708-1988
Mailing address
PO BOX 4466, TOLEDO, OH 43610-0466
(419) 708-1988
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347867
—
OH
Enumeration date
06/24/2019
Last updated
08/31/2020
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