Individual
CHANDLAR FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-3291
Mailing address
5285 SHAWNEE RD STE 110, ALEXANDRIA, VA 22312-2328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001325107
VA
163W00000X
Registered Nurse
Primary
RN1054024
DC
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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