MS. Joanne Marie Fowler, LMP

NPI #1922129709 in Kent, Washington

Provider Information

NPI Number: 1922129709
Entity Type: Individual
Name: MS. Joanne Marie Fowler, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMP
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 26405 103RD AVE SE
City: Kent
State: Washington
ZIP Code: 98030-7026
Phone: (253) 921-5875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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