JONATHAN DAVID GOLEN

SAN DIEGO, CA
NPI1326762956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  9180)
Enumeration Date2022-09-27
Last Update Date2022-09-27
Business Address
JONATHAN DAVID GOLEN PTA
14425 YAZOO ST
SAN DIEGO, CA 92129-1633
Phone number: 619-865-0550
Mailing Address
JONATHAN DAVID GOLEN PTA
14425 YAZOO ST
SAN DIEGO, CA 92129-1633
Phone number: 619-865-0550
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