Individual
JOHN ISSAC GOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2642 HORIZON RIDGE PKWY, #A5, HENDERSON, NV 89052-6480
(702) 553-3273
(702) 795-7463
Mailing address
2642 HORIZON RIDGE PKWY, #A5, HENDERSON, NV 89052-6480
(702) 553-3273
(702) 795-7463
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
010C-2007302783
NV
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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