Individual
MS. FOROUZ JOWKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1925 ASPEN DR, #100B, SANTA FE, NM 87505-5579
(505) 424-9172
(505) 438-1814
Mailing address
2019 GALISTEO ST, SANTA FE, NM 87505-2143
(505) 424-9172
(505) 438-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2008-0051
NM
Other
Enumeration date
12/16/2008
Last updated
03/08/2024
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