Individual
HANNAH IRISA BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14515 HAMLIN ST, VAN NUYS, CA 91411-1686
(818) 989-7475
Mailing address
17155 MARILLA ST, NORTHRIDGE, CA 91325-1945
(818) 389-1535
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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