Individual
MRS. MARY LOUISE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
5857 HERSHOLT AVE, LAKEWOOD, CA 90712-1339
(562) 305-4532
Mailing address
PO BOX 4673, LAKEWOOD, CA 90711-4673
(562) 305-4532
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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