Individual
ALICIA SOWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 CLIFFSIDE DR, SAN DIMAS, CA 91773-2957
(909) 592-2149
Mailing address
675 CLIFFSIDE DR, SAN DIMAS, CA 91773-2957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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