Individual
DUSTIN RYAN GOODWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4142
Mailing address
1909 N PARK AVE UNIT 2, TUCSON, AZ 85719-3556
(623) 693-1308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
04/05/2022
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