LAVANIESHA JACKSON GOODE

BRENTWOOD, NY
NPI1265186761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  734590)
Enumeration Date2022-02-04
Last Update Date2022-02-04
Business Address
LAVANIESHA JACKSON GOODE
24 MORRIS ST
BRENTWOOD, NY 11717-2609
Phone number: 631-601-3699
Mailing Address
LAVANIESHA JACKSON GOODE
24 MORRIS ST
BRENTWOOD, NY 11717-2609
Phone number: 631-601-3699
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