Individual
MRS. MYA ROSE ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
154 E 5TH ST, NEILLSVILLE, WI 54456-1941
(715) 937-3115
Mailing address
154 E 5TH ST, NEILLSVILLE, WI 54456-1941
(715) 937-3115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4574-046
WI
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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