Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01068349A | IN |
Y | 208000000X | Pediatrician | A94656 | CA |
NPI | 1013037993 |
---|---|
Provider Name | Dr. Mary A Gonzalez-Howard |
First Address | Fresno, CA 93722-8401 |
Second Address | Fresno, CA 93722-8401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 26/10/2016 |