Individual
VERONA C FOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
419 DOWN PINE DR, SEFFNER, FL 33584-3720
(917) 257-9469
Mailing address
419 DOWN PINE DR, SEFFNER, FL 33584-3720
(917) 257-9469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23697-1
NY
163W00000X
Registered Nurse
9258055
FL
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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