Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G34955 | CA |
NPI | 1063447571 |
---|---|
Provider Name | Paulette Ginier |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93701-2124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 28/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G349550 | (05) | CA |
B5509 | (02) | CA |