Individual
LEAH ENOCHS GOSWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
537 CUMBERLAND DR, SHREVEPORT, LA 71106-5919
(318) 560-0409
Mailing address
1810 OLD WOODLEY RD, MARSHALL, TX 75672-2117
(903) 926-3320
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN120953
LA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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