Individual
JESSICA BLAIR MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7120
Mailing address
46 SUMMIT WAY SW, ROANOKE, VA 24014-5100
(757) 334-1128
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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