Individual
BRYN ILENE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 MYSTIC MEADOWS ST, BAKERSFIELD, CA 93312-3694
(661) 900-9969
Mailing address
1801 MYSTIC MEADOWS ST, BAKERSFIELD, CA 93312-3694
(661) 900-9969
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
CA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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