Individual
VI DUC TERESA LOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 KOLOKO CT UNIT 103, WAHIAWA, HI 96786-5457
(850) 381-7356
Mailing address
149 KOLOKO CT UNIT 103, WAHIAWA, HI 96786-5457
(850) 381-7356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19788
HI
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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