Individual
ANGELINA STOVALL-AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 SW 16TH ST, LINCOLN, NE 68522-9206
(402) 413-8932
Mailing address
3900 OLD CHENEY ROAD, STE 201 #324, LINCOLN, NE 68516-2709
(402) 413-8932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1032771
NE
Other
Enumeration date
12/15/2017
Last updated
02/08/2021
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