Individual
KELLIE L BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3328 6TH ST SE APT T1, WASHINGTON, DC 20032-3818
(202) 883-0471
Mailing address
4424 G ST SE APT 11, WASHINGTON, DC 20019-5069
(202) 848-0154
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
10/02/2023
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