MR. JACK GOLLA, QBA

Community/Behavioral Health

Active Individual
NPI: 1780985721

Practice Address

670 WASHOE DR
Carson City, NV 89704

Phone: (775) 849-3165

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes FF467210 (NV)

Frequently Asked Questions

NPI 1780985721 is the National Provider Identifier for MR. JACK GOLLA, QBA, a Community/Behavioral Health provider located in Carson City, NV. This NPI was enumerated on November 8, 2010.
MR. JACK GOLLA, QBA practices at 670 WASHOE DR, Carson City, NV 89704.

Quick Facts

NPI
1780985721
Type
Individual
Enumerated
Nov 8, 2010
Last Updated
Nov 8, 2010

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