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Carol Fowlkes

NPI 1306328281 · on the registry since 2018

Practice

Address
879 W 190th St
Gardena, CA 90248
Phone
(310) 323-6887
Fax
(714) 680-8233
Organisation at this address
Qismah, Inc
Hear Now Inc.
A.F.F.R.E.E.C.A.
Front Focus Clinic
Zion Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
407

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
1041C0700X
390200000X
225400000X
Licence states on file
NULL, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-10

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