Individual
BOWEN MAYGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15312 E SPRAGUE AVE, SPOKANE VALLEY, WA 99037-5109
(509) 202-9384
Mailing address
2142 W LAPWAI AVE, POST FALLS, ID 83854-0086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
03/17/2018
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