Provider Demographics
NPI:1326478041
Name:HUDSON, MARY CASNER (MSPA)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CASNER
Last Name:HUDSON
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Gender:F
Credentials:MSPA
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Mailing Address - Street 1:7065 N CHESTNUT AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0355
Mailing Address - Country:US
Mailing Address - Phone:559-326-8867
Mailing Address - Fax:559-432-8812
Practice Address - Street 1:7065 N CHESTNUT AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0355
Practice Address - Country:US
Practice Address - Phone:559-326-8867
Practice Address - Fax:559-432-8812
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2023-07-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant