Provider Demographics
NPI:1730962176
Name:GONZALEZ, ALLISON LOUISE (DOULA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LOUISE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 FOXMOOR DR
Mailing Address - Street 2:
Mailing Address - City:PLAINWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49080-1083
Mailing Address - Country:US
Mailing Address - Phone:949-466-8480
Mailing Address - Fax:
Practice Address - Street 1:526 FOXMOOR DR
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-1083
Practice Address - Country:US
Practice Address - Phone:949-466-8480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula