Individual
FRANK GREENE FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
9604 SPRINGBROOK CT, RANCHO CUCAMONGA, CA 91730-7915
(915) 203-6768
Mailing address
9604 SPRINGBROOK CT, RANCHO CUCAMONGA, CA 91730-7915
(915) 203-6768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680821
CA
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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