Individual
CLAUDENE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2159 STRANG AVE, BRONX, NY 10466-2334
(718) 882-3408
Mailing address
2159 STRANG AVE, BRONX, NY 10466-2334
(718) 882-3408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
754709
NY
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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