Individual
DESTINEE BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Mailing address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58935
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2020
Last updated
03/22/2022
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