Individual
MRS. DEJA ALIZE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8044 MONTGOMERY RD STE 700, CINCINNATI, OH 45236-2926
(513) 549-6814
Mailing address
8044 MONTGOMERY RD STE 700, CINCINNATI, OH 45236-2926
(513) 602-5453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
545245
OH
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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