Individual
MRS. TIANA LYNNETTE DOUGLAS GOEINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 OVERHEART LN, COLUMBIA, MD 21045-4541
(667) 401-2864
Mailing address
6515 OVERHEART LN, COLUMBIA, MD 21045-4541
(667) 401-2864
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
48471-168-055-5227
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781E1689
N/A
MD
Enumeration date
05/23/2023
Last updated
05/23/2023
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