Individual
DKISHA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6041 SYON CV, MEMPHIS, TN 38119-7429
(662) 579-9850
Mailing address
3750 HACKS CROSS RD STE 102, MEMPHIS, TN 38125-3206
(662) 579-9850
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
908059
MS
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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