Amanda Mae Lorene Fowler Test

NPI #1013611797 in Goreville, Illinois

Provider Information

NPI Number: 1013611797
Entity Type: Individual
Name: Amanda Mae Lorene Fowler Test
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Mar 28, 2023
Last Updated: Mar 28, 2023

Practice Location

Address: 207 KING CIR
City: Goreville
State: Illinois
ZIP Code: 62939-0020
Phone: (618) 663-8336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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