STANLEY WAYNE POWELL

BELLEVUE, WA
NPI1194038786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: AR  OTR2311)
Enumeration Date2010-07-23
Last Update Date2010-07-23
Business Address
-- STANLEY WAYNE POWELL MS OTR/L
13073 SE 26TH ST APT D101
BELLEVUE, WA 98005-4262
Phone number: 479-651-8289
Mailing Address
-- STANLEY WAYNE POWELL MS OTR/L
4 HILLS CT
ARKADELPHIA, AR 71923-5451
Phone number: 479-651-8289