Most Relevant Information
Provider Data
NPI Number: | 1003366212 |
Provider Name: | AMBER GOODJOINT |
Entity Type: | Individual |
Taxonomy Code: | 261QM0801X |
Specialty: | Clinic/Center |
License Number: |
Most Important Dates
Enumeration Date: | 10/12/2016 |
Last Updated: | 07/18/2023 |
Provider Practice Location
3100 KILPATRICK BLVD
MONROE
LA
712015156
Practice Location Phone/Fax
Phone: | 3183258050 |
Fax: |
Provider Mailing Location
3100 KILPATRICK BLVD
MONROE
LA
712015156
Provider Mailing Phone/Fax
Phone: | 3183258050 |
Fax: |