Amanda Mae Lorene Fowler Test
Amanda Mae Lorene Fowler Test is a Community Health Worker in Goreville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
207 King CirGoreville, IL 62939-0020
Phone: (618) 663-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1013611797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | March 28, 2023 |
| Certification date | March 28, 2023 |
| Mailing address | 2401 W Main St, Marion, IL 62959-1188 |