Individual
MARTY LYNN GOLIGHTLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
35000 GUADALCANAL AVE, SAN DIEGO, CA 92140-5599
(619) 524-4043
Mailing address
39037 VIA LAS SINTRAS, MURRIETA, CA 92562-4323
(619) 252-6131
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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