Individual
CHANTELLE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
35625 HIGHWAY 190 STE 201, SPRINGVILLE, CA 93265-9747
(559) 350-1998
Mailing address
PO BOX 270, SPRINGVILLE, CA 93265-0270
(559) 350-1998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95167
CA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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