Individual
DEANDREA JOICE STOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LADIGA ST SE, JACKSONVILLE, AL 36265-2691
(770) 875-5113
Mailing address
519 LADIGA ST SE, JACKSONVILLE, AL 36265-2691
(770) 875-5113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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