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Contact Information

SIERRA R FOWZER
2580 LAKE TAHOE BLVD STE D
SOUTH LAKE TAHOE, CA96150
 Phone: 530-626-3105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SIERRA R FOWZER · (Female)

NPI # 1992274542
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2018
Last updated 05/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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