Individual
AMY BETH GOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11262 CAMPUS ST, LOMA LINDA, CA 92350-8447
(951) 490-2195
Mailing address
11262 CAMPUS ST, LOMA LINDA, CA 92350-1727
(951) 490-2195
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95013197
CA
Other
Enumeration date
12/20/2019
Last updated
02/18/2025
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