Individual
MS. DE'LANA LA'SHAWN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
1567 E FAIRFIELD CT APT 4, ONTARIO, CA 91761-6399
(909) 952-4541
Mailing address
1567 E FAIRFIELD CT APT 4, ONTARIO, CA 91761-6399
(909) 952-4541
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
156482
CA
Other
Enumeration date
03/16/2008
Last updated
03/16/2008
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