Individual
JENNIFER BOWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
112 COMMERCIAL HTS STE A, FORT VALLEY, GA 31030-3395
(478) 225-3584
Mailing address
112 COMMERCIAL HTS STE A, FORT VALLEY, GA 31030-3395
(478) 225-3584
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO124185
GA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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