Individual
MRS. MARSHA L GOODLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
(337) 480-2614
(337) 475-4820
Mailing address
4135 LAREDO CIR, LAKE CHARLES, LA 70607-0954
(337) 564-5672
(337) 475-4820
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN085620
LA
Other
Enumeration date
07/13/2012
Last updated
07/06/2016
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