Individual
CARNISHA GOINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6116 BOWIE AVE, SHREVEPORT, LA 71108-4308
(318) 210-5289
Mailing address
PO BOX 6068, SHREVEPORT, LA 71136-6068
(318) 210-5289
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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