LACIE ANN GOODMAN

LAREDO, TX
NPI1477100857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  216526)
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
MRS. LACIE ANN GOODMAN FNP-BC
7521 COUNTRY CLUB DR APT 304
LAREDO, TX 78041-3396
Phone number: 912-571-1480
Mailing Address
MRS. LACIE ANN GOODMAN FNP-BC
7521 COUNTRY CLUB DR APT 304
LAREDO, TX 78041-3396
Phone number: 912-571-1480