Individual
MRS. EMILY LAUREN GODSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(903) 526-4055
Mailing address
1510 S VINE AVE, TYLER, TX 75701-2826
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
764810
TX
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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