Individual
MR. AARON FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11523 C AVE, AUBURN, CA 95603-2703
(530) 886-3470
Mailing address
11523 C AVE, AUBURN, CA 95603-2703
(530) 886-3470
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
D3002297
CA
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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