Individual
BRENT BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 GREEN GABLES AVE, LAS VEGAS, NV 89183-7216
(702) 581-2088
Mailing address
575 GREEN GABLES AVE, LAS VEGAS, NV 89183-7216
(702) 581-2088
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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