Individual
MARY ELIZABETH GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN PHN
Contact information
Practice address
1234 ARCADIA AVE, VISTA, CA 92084-3404
(760) 310-8319
Mailing address
12780 BIG BEND WAY, VALLEY CENTER, CA 92082-6450
(760) 505-0420
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
369948
CA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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