Individual
CHERRY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 N 42ND ST, EAST SAINT LOUIS, IL 62204-3022
(314) 662-4494
Mailing address
1105 N 42ND ST, EAST SAINT LOUIS, IL 62204-3022
(314) 662-4494
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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