Individual
VICTORIA MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 WHITE AVE, LINCOLN PARK, MI 48146-2894
(313) 319-7838
Mailing address
566 WHITE AVE, LINCOLN PARK, MI 48146-2894
(313) 319-7838
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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