Individual
MR. JONATHAN JAY MANAHAOKALANI GOULD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 BRASWELL RD, GOLDSBORO, NC 27530-8566
(808) 728-2636
Mailing address
1004 BRASWELL RD, GOLDSBORO, NC 27530-8566
(808) 728-2636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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