Individual
JOLEEN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 TECHNOLOGY CT STE 105, RIVERSIDE, CA 92507-2181
(951) 686-8500
Mailing address
525 TECHNOLOGY CT STE 105, RIVERSIDE, CA 92507-2181
(951) 686-8500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
02/20/2024
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