Individual
DR. DEBORAH A FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M., L.AC.
Contact information
Practice address
10597 BRAGG AVE, GRASS VALLEY, CA 95945-5502
(530) 277-6559
Mailing address
10597 BRAGG AVE, GRASS VALLEY, CA 95945-5502
(530) 277-6559
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
580
NM
171100000X
Acupuncturist
Primary
AC 9990
CA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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