Latasha Goodman

NPI #1942443973 in Batesville, Arkansas

Provider Information

NPI Number: 1942443973
Entity Type: Individual
Name: Latasha Goodman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Apr 7, 2009
Last Updated: Apr 7, 2009

Practice Location

Address: 2040 FITZHUGH ST
City: Batesville
State: Arkansas
ZIP Code: 72501-7409
Phone: (870) 793-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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