Individual
AMANDA L STOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4866 W 137TH ST, HAWTHORNE, CA 90250-6525
(818) 462-1195
Mailing address
4866 W 137TH ST, HAWTHORNE, CA 90250-6525
(818) 462-1195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012276
CA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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