Individual
MISS LORI GOODSPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8610 N 91ST AVE APT 1016, PEORIA, AZ 85345-8315
(480) 720-6699
Mailing address
8610 N 91ST AVE APT 1016, PEORIA, AZ 85345-8315
(480) 720-6699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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