Individual
MARLISHA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3151 SOARING GULLS DR UNIT 2199, LAS VEGAS, NV 89128-7046
(702) 472-6847
Mailing address
3151 SOARING GULLS DR UNIT 2199, LAS VEGAS, NV 89128-7046
(702) 472-6847
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1605134285
—
NV
Enumeration date
03/25/2022
Last updated
04/07/2022
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