Individual
SAMANTHA CLARK STOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4904 WATERS EDGE DR STE 159, RALEIGH, NC 27606-2466
(919) 306-2258
Mailing address
664 HAY RIVER ST, GARNER, NC 27529-6209
(919) 306-2258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3819
NC
Other
Enumeration date
07/13/2007
Last updated
10/10/2018
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