| Doctor Name: | MARY RABITZ |
| NPI Number: | 1013101708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 553650 |
| Business Practice Address: | 7861 Murray Ave Gilroy, CA - 950204604 |
| Business Phone Number: | 4088421017 |
| Business Fax Number: | 4088424186 |
| Mailing Address: | 5671 Santa Teresa Blvd Ste 105, SAN JOSE |
| State: | CA |
| Postal Code: | 951236512 |
| Phone Number: | 4082842281 |
| Fax Number: | 4082812857 |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 09/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 553650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |