Individual
ANGELA STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Mailing address
PO BOX 2533, MOUNTAIN HOME, AR 72654-2533
(870) 424-4021
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L030790
AR
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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