Individual
ELLEN GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 471-2743
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 471-2743
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
CDR 805912
CA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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