Individual
JEROME LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NUTRITION PRACTITION
Contact information
Practice address
16000 W 9 MILE RD STE 603C, SOUTHFIELD, MI 48075-4851
(248) 943-9641
Mailing address
16000 W 9 MILE RD STE 623, SOUTHFIELD, MI 48075-4808
(248) 943-9641
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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