Quincy Sowell

NPI #1316680101 in Broadview, Illinois

Provider Information

NPI Number: 1316680101
Entity Type: Individual
Name: Quincy Sowell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 19, 2022
Last Updated: Apr 19, 2022

Practice Location

Address: 2344 S 12TH AVE
City: Broadview
State: Illinois
ZIP Code: 60155-4038
Phone: (708) 657-7619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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