Individual
MS. AMY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1198 STARLIGHT DR, REYNOLDSBURG, OH 43068-9669
(614) 551-0963
Mailing address
1198 STARLIGHT DR, REYNOLDSBURG, OH 43068-9669
(614) 551-0963
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136934
OH
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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