Individual
LATRACESHA C WILLIAMS-GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 POPLAR RIDGE DR, PITTSBURGH, PA 15235-3764
(412) 620-8909
Mailing address
125 POPLAR RIDGE DR, PITTSBURGH, PA 15235-3764
(412) 620-8909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
62823601
PA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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