Individual
RICHARD SCOTT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
Mailing address
7618 KITTIWAKE DR SE, OLYMPIA, WA 98513-5679
(360) 603-2941
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
WA615403
WA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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