Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 20A 9607 | CA |
NPI | 1013199843 |
---|---|
Provider Name | Michelle Jean Rowe |
First Address | French Camp, CA 95231-9693 |
Second Address | French Camp, CA 95231-9693 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 27/10/2020 |