Individual
MRS. CARMELLA E FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1463 TX 16, PRIDDY, TX 76870-7687
(210) 980-2221
Mailing address
PO BOX D, PRIDDY, TX 76870-0183
(210) 980-2221
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353771
TX
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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