Individual
MS. MADALYN KELLY YOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
7809 SOUTHEAST SOUTHGATE STREET, MILWAUKEE, OR 97222
(541) 554-6690
Mailing address
7-150 RIDGEWOOD DR, GLADSTONE, OR 97027
(803) 756-6394
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763525
—
OR
Enumeration date
10/16/2019
Last updated
10/16/2019
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