Individual
MISS ANDREA CHRISTINE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A,
Contact information
Practice address
4250 E FLORIAN AVE, SUITE 1, MESA, AZ 85206-2797
(480) 969-3800
(480) 222-3221
Mailing address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 969-3800
(480) 222-3221
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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