Individual
ANGEL C BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
275 N MARION AVE, LAKE CITY, FL 32055-2864
(386) 754-0086
Mailing address
275 N MARION AVE, LAKE CITY, FL 32055-2864
(386) 754-0086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 53422
FL
Other
Enumeration date
11/25/2009
Last updated
03/11/2010
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