Individual
ALICIA MOUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
422 ARNEILL RD STE B, CAMARILLO, CA 93010-6434
(805) 652-6353
Mailing address
PO BOX 128, MOORPARK, CA 93020-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60539
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2019
Last updated
02/16/2022
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