Individual
MS. LATONYA R BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
10000 BALLANTYNE COMMONS PKWY, CHARLOTTE, NC 28277-2484
(704) 449-7104
Mailing address
3111 WINDSHIRE LN APT 204, CHARLOTTE, NC 28273-4173
(704) 449-7104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6476
NC
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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