MARK RICHARDSON FOWLIS

RANCHO CUCAMONGA, CA
NPI1285904326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
-- MARK RICHARDSON FOWLIS CAADE
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
Phone number: 909-838-0044
Mailing Address
-- MARK RICHARDSON FOWLIS CAADE
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730
Phone number: 909-838-0044
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