Individual
QUANESHA MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-2188
(502) 802-0984
Mailing address
901 S 4TH ST, LOUISVILLE, KY 40203-2188
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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