Individual
POPPI STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
10435 CEDAR AVE, BLOOMINGTON, CA 92316-2403
(909) 580-5002
(909) 876-4080
Mailing address
25464 HIBISCUS DR, CORONA, CA 92883-4719
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP2669
CA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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