Individual
JACQUELINE POWERS-BOWIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6250 CLAY ST, RIVERSIDE, CA 92509-6005
(951) 360-5250
(951) 360-9069
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(951) 360-5250
(951) 360-9069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA11483
CA
363AM0700X
Medical Physician Assistant
Primary
PA11483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ14058Z
GROUP SITE LOCATION
—
Enumeration date
12/13/2005
Last updated
12/05/2012
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