Individual
CHANTIA BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5123 N 48TH AVE, OMAHA, NE 68104-2332
(402) 913-6368
Mailing address
9744 MOCKINGBIRD DR, OMAHA, NE 68127-2013
(402) 800-3787
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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