Individual
HAWAIIANE LEE GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 S BREIEL BLVD, MIDDLETOWN, OH 45044-6796
(513) 571-9491
Mailing address
1808 S BREIEL BLVD, MIDDLETOWN, OH 45044-6796
(513) 571-9491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
174665
OH
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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