Individual
BRANDI E FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CROWN POINT CIR, GRASS VALLEY, CA 95945-9514
(530) 470-2759
Mailing address
500 CROWN POINT CIR, GRASS VALLEY, CA 95945-9514
(530) 470-2759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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