Individual
ANGELICA CELESTE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S RANCHO DR STE A10, LAS VEGAS, NV 89106-4898
(702) 437-4673
Mailing address
3721 PLUM BLOSSOM CT, LAS VEGAS, NV 89129-7051
(702) 462-1996
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
05/08/2024
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