Individual
MICHELLE ANNE LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SAIPAN STREET, SANTA RITA, GU 96915
(671) 564-0886
Mailing address
5 SAIPAN ST, SANTA RITA, GU 96915-1441
(671) 564-0886
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007017
GA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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