Most Relevant Information
Provider Data
| NPI Number: | 1003462938 |
| Provider Name: | MARIE CLARICE FOWLER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2019 |
| Last Updated: | 08/15/2019 |
Provider Practice Location
1710 S AMPHLETT BLVD STE 314
SAN MATEO
CA
944022736
Practice Location Phone/Fax
| Phone: | 6502420179 |
| Fax: |
Provider Mailing Location
38 ROCKFORD AVE
DALY CITY
CA
940154724
Provider Mailing Phone/Fax
| Phone: | 8188572843 |
| Fax: |