Provider Demographics
NPI:1376205658
Name:GONZALEZ, MARIAFELIX (RD)
Entity Type:Individual
Prefix:
First Name:MARIAFELIX
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 MING AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1308
Mailing Address - Country:US
Mailing Address - Phone:661-664-3875
Mailing Address - Fax:661-664-3849
Practice Address - Street 1:8800 MING AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1308
Practice Address - Country:US
Practice Address - Phone:661-664-3875
Practice Address - Fax:661-664-3849
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered