Individual
BERKELEY LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 VERMILLION ST, ATHENS, WV 24712-9027
(276) 591-9841
Mailing address
21156 TROJAN DR, BRISTOL, VA 24202-4324
(276) 591-9841
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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