Individual
JULIA M BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 39TH AVE N, ST PETERSBURG, FL 33714-3406
(813) 317-5095
Mailing address
4710 39TH AVE N, ST PETERSBURG, FL 33714-3406
(813) 317-5095
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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