Individual
ELYSHA GOODGION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5525 COUNTY ROAD 423, GRANDVIEW, TX 76050-3378
(720) 837-4675
Mailing address
PO BOX 307, GRANDVIEW, TX 76050-0307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
930946
TX
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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