Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1118 | CA |
NPI | 1124669080 |
---|---|
Provider Name | Dr. Carleigh Golightly |
First Address | Poway, CA 92064-1311 |
Second Address | San Diego, CA 92128-2519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 30/06/2020 |