Individual
YOLANDA THERESA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 N SONORA AVE, SUITE 113, FRESNO, CA 93722-3966
(559) 276-7558
(559) 276-7568
Mailing address
4705 N SONORA AVE, SUITE 113, FRESNO, CA 93722-3966
(559) 276-7558
(559) 276-7568
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8459798
DRIVER'S LICENSE
CA
Enumeration date
04/14/2011
Last updated
04/14/2011
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