Individual
THERESA LYNN GOFFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N NICKELPLATE ST, LOUISVILLE, OH 44641-2460
(330) 412-6561
(330) 875-1824
Mailing address
820 N NICKELPLATE ST, LOUISVILLE, OH 44641-2460
(330) 412-6561
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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