David Ross Fowler Jr.
Case Manager/Care Coordinator in Gilroy, CA. Individual provider (NPI-1).
NPI number1982242632
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1982242632
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Ross Fowler Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
9015 Murray AveGilroy, CA 95020-3617
Phone 669-239-5991
Mailing address
9015 Murray AveGilroy, CA 95020-3617
Phone 669-239-5991
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