AMANDA MAE LORENE FOWLER TEST

GOREVILLE, IL
NPI1013611797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
AMANDA MAE LORENE FOWLER TEST
207 KING CIR
GOREVILLE, IL 62939-0020
Phone number: 618-663-8336
Mailing Address
AMANDA MAE LORENE FOWLER TEST
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-7177