Provider Demographics
NPI:1831591700
Name:HOWARD, SARA BETH (CMF)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:BETH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 21ST ST STE B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4002
Mailing Address - Country:US
Mailing Address - Phone:661-322-1005
Mailing Address - Fax:661-322-0528
Practice Address - Street 1:23033 LYONS AVE STE 6
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2777
Practice Address - Country:US
Practice Address - Phone:661-253-1191
Practice Address - Fax:661-253-1343
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFM02431224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter