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Lisa Goodwin

Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).

NPI number1669973772
StatusActive
Last updated in NPPESFeb 23, 2018

Details

NPI
1669973772
Entity type
Individual (NPI-1)
Name
Lisa Goodwin
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2018
Last updated
Feb 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant–NVYes
372500000X Chore Provider–NV
372600000X Adult Companion–NV
3747A0650X Technician, Attendant Care Provider–NV
376J00000X Homemaker–NV

Practice location

7320 Smoke Ranch Rd Ste H
Las Vegas, NV 89128-0259

Phone 702-380-0600

Mailing address

4240 El Moor Way
Las Vegas, NV 89121-6407

Phone 702-813-7277

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