Marquita Shadeltra Fowler
NPI #1629898598 in N Little Rock, Arkansas
Provider Information
- NPI Number
- 1629898598
- Entity Type
- Individual
- Name
- Marquita Shadeltra Fowler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 15, 2024
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 4354 STOCKTON DR
- City
- N Little Rock
- State
- Arkansas
- ZIP Code
- 72117-2917
- Phone
- (501) 221-1843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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