Individual
JODIE GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 ANGELA ROBIN ST UNIT 102, LAS VEGAS, NV 89129-1739
(702) 302-1498
Mailing address
3636 ANGELA ROBIN ST UNIT 102, LAS VEGAS, NV 89129-1739
(702) 302-1498
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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