Provider Demographics
NPI:1336904820
Name:GOLIGOSKI, RILEY ELISABETH
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:ELISABETH
Last Name:GOLIGOSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 RALSTON LN
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-5219
Mailing Address - Country:US
Mailing Address - Phone:303-406-8369
Mailing Address - Fax:
Practice Address - Street 1:1660 S ALBION ST STE 227
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4041
Practice Address - Country:US
Practice Address - Phone:714-619-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other