Individual
TAVYIA GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1400 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-2273
Mailing address
1400 N LAS VEGAS BLVD N, NELLIS AFB, NV 89191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028107
GA
Other
Enumeration date
01/28/2021
Last updated
02/23/2022
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