KENNYAE GOODWIN

LAS VEGAS, NV
NPI1417687484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-06-13
Last Update Date2022-06-14
Business Address
KENNYAE GOODWIN
2575 MONTESSOURI ST STE 201
LAS VEGAS, NV 89117-3060
Phone number: 702-207-2526
Mailing Address
KENNYAE GOODWIN
2575 MONTESSOURI ST STE 201
LAS VEGAS, NV 89117-3060
Phone number: 702-207-2526