Individual
SARA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 EISENHOWER ROAD, UNIVERSITY PARK, PA 16802
(814) 865-6556
Mailing address
1 EISENHOWER ROAD, UNIVERSITY PARK, PA 16802
(814) 865-6556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN078815L
PA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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