Individual
ANITERA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTECH
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
611 BELHAVEN DRIVE, INDIANAPOLIS, IN 46226
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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