Individual
CORY C FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-0718
Mailing address
925 10TH AVE, SIDNEY, NE 69162-1609
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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