Individual
MS. JOANNE MARIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
26405 103RD AVE SE, KENT, WA 98030-7026
(253) 921-5875
Mailing address
26405 103RD AVE SE, KENT, WA 98030-7026
(253) 921-5875
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
WA00009587
WA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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