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Mark Fowlis, CAADE

NPI 1285904326 · on the registry since 2012

Practice

Address
11777 Sebastian Way Ste 102
Rancho Cucamonga, CA 91730
Phone
(909) 838-0044
Clinicians at this address
14

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California