Individual
ALLISON HEATHER GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6450
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6450
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1862
PTL
CA
01
—
20A22231
OSTEOPATHIC PHYSICIAN AND SURGEON LICENSE
CA
Enumeration date
03/23/2021
Last updated
10/14/2024
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