Most Relevant Information
Provider Data
| NPI Number: | 1003320342 |
| Provider Name: | STACI NICOLE BOWIE |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2017 |
| Last Updated: | 04/11/2019 |
Provider Practice Location
43520 DIVISION ST
LANCASTER
CA
935354089
Practice Location Phone/Fax
| Phone: | 6612664783 |
| Fax: |
Provider Mailing Location
15305 RAYEN ST
NORTH HILLS
CA
913435117
Provider Mailing Phone/Fax
| Phone: | 8188923423 |
| Fax: |