Provider Demographics
NPI:1356056253
Name:LOW, MICHELLE J
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:J
Last Name:LOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10185 SHADY DAWN LN
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-9731
Mailing Address - Country:US
Mailing Address - Phone:209-559-1485
Mailing Address - Fax:
Practice Address - Street 1:10185 SHADY DAWN LN
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CA
Practice Address - Zip Code:95327-9731
Practice Address - Country:US
Practice Address - Phone:209-559-1485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula