Individual
MARY GEORGEEN HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA,
Contact information
Practice address
17325 DE GROOT PL, CERRITOS, CA 90703-1122
(562) 706-4877
Mailing address
17325 DE GROOT PL, CERRITOS, CA 90703-1122
(562) 706-4877
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00807947
CA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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