Individual
MRS. TERRY BENNETT GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
207 JEFFERSON ST, MANSFIELD, LA 71052-1636
(318) 872-4610
(318) 872-1502
Mailing address
248 VANCE RD, BENTON, LA 71006-3456
(318) 965-9887
(318) 965-9887
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
LA33180
LA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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