Provider Demographics
NPI:1518509678
Name:BROWN GONZALEZ, ESTHER MARIE
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:MARIE
Last Name:BROWN GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2826 MUNSON ST
Mailing Address - Street 2:
Mailing Address - City:CAMARILLA
Mailing Address - State:CA
Mailing Address - Zip Code:93010
Mailing Address - Country:US
Mailing Address - Phone:805-607-7462
Mailing Address - Fax:
Practice Address - Street 1:2826 MUNSON ST
Practice Address - Street 2:
Practice Address - City:CAMARILLA
Practice Address - State:CA
Practice Address - Zip Code:93010
Practice Address - Country:US
Practice Address - Phone:805-607-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider