MLISA SHIANNE GOODWIN

COLORADO SPRINGS, CO
NPI1710742598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-02-20
Last Update Date2024-02-20
Business Address
MLISA SHIANNE GOODWIN
6515 WEEPING WILLOW DR
COLORADO SPRINGS, CO 80925-1310
Phone number: 719-581-9041
Mailing Address
MLISA SHIANNE GOODWIN
4336 S ACOMA ST
ENGLEWOOD, CO 80110-5744
Phone number:
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