Individual
RAYNA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17262 DOLPHIN ST, FONTANA, CA 92336-3234
(909) 731-0502
Mailing address
17262 DOLPHIN ST, FONTANA, CA 92336-3234
(909) 731-0502
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95173336
CA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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