Individual
MS. LINDA BETH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
(360) 566-9133
Mailing address
1302 GRAND PL, VANCOUVER, WA 98661-4716
(360) 513-3139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00024088
WA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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