Individual
SHARON ANGELICA FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
5812 DUNKIRK ST, PORTSMOUTH, VA 23703-3128
(757) 318-8407
(757) 673-3606
Mailing address
5812 DUNKIRK ST, PORTSMOUTH, VA 23703-3128
(757) 318-8407
(757) 673-3606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002079887
VA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/06/2018
Last updated
06/16/2018
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