Individual
ANISSA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18302 IRVINE BLVD STE 300, TUSTIN, CA 92780-3437
(714) 957-1004
Mailing address
18302 IRVINE BLVD STE 300, TUSTIN, CA 92780-3437
(714) 957-1004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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