Individual
PATRICIA GOUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4961 RENZO CT, AVE MARIA, FL 34142-9686
(917) 783-5785
Mailing address
4961 RENZO CT, AVE MARIA, FL 34142-9686
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
175M00000X
Lay Midwife
—
—
374J00000X
Doula
Primary
—
FL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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