Individual
STEPHANIE RENEE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 CLUB CONNECTION BLVD APT 101, CLAYTON, NC 27527-8619
(347) 939-4145
Mailing address
PO BOX 22, CLAYTON, NC 27528-0022
(347) 939-4145
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
573788
NC
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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