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Individual

ANNA GOFORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-7000
Mailing address
7110 LOUISIANA DR, VANCOUVER, WA 98664-1522
(360) 624-0401

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
456242
OH
163W00000X
Registered Nurse
RN200003758
DC

Other

Enumeration date
09/22/2023
Last updated
09/22/2023
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