Individual
EVELYN F FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
150 CALIFORNIA ST, NEWTON, MA 02458-1005
(617) 558-1788
Mailing address
115 CRESTVIEW RD, BELMONT, MA 02478-2106
(617) 558-1788
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
556
MA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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