NPI 1922129709

Joanne Marie Fowler, LMP

Practitioner Contractor Kent, WA

Practice location

Address: 26405 103rd Ave SE, Kent, WA 98030-7026
Phone: (253) 921-5875

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence WA00009587 (WA)

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Registry record

NPI: 1922129709
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.