Provider Demographics
NPI:1922151760
Name:MOWRY, JAMES ERIC (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ERIC
Last Name:MOWRY
Suffix:
Gender:M
Credentials:RN
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Mailing Address - Street 1:3078 EL CAJON BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-1322
Mailing Address - Country:US
Mailing Address - Phone:619-521-1743
Mailing Address - Fax:619-521-1896
Practice Address - Street 1:3078 EL CAJON BLVD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-1322
Practice Address - Country:US
Practice Address - Phone:619-521-1743
Practice Address - Fax:619-521-1896
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA689346163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult