Individual
DANIELLE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-6597
Mailing address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN717194
CA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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