Individual
MRS. STACEY DENISE BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 412-4678
(623) 412-4685
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 412-4678
(623) 412-4685
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP021936
AZ
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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