SHANNYN I FOWL

LA MESA, CA
NPI1568750495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: CA  ND-451)
Enumeration Date2011-07-12
Last Update Date2012-03-21
Business Address
Dr. SHANNYN I FOWL N.D.
5575 LAKE PARK WAY STE. 114
LA MESA, CA 91942-1664
Phone number: 619-772-1164
Mailing Address
Dr. SHANNYN I FOWL N.D.
PO BOX 191114
SAN DIEGO, CA 92159-1114
Phone number: 619-772-1164
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