Provider Demographics
NPI:1124669080
Name:GOLIGHTLY, CARLEIGH (ND)
Entity type:Individual
Prefix:DR
First Name:CARLEIGH
Middle Name:
Last Name:GOLIGHTLY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17445 PORT MARNOCK DR
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-1311
Mailing Address - Country:US
Mailing Address - Phone:858-248-6817
Mailing Address - Fax:
Practice Address - Street 1:16486 BERNARDO CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2519
Practice Address - Country:US
Practice Address - Phone:858-248-6817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1118175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath