Individual
MADISON FAITH BOWCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 MIDDLEBORO RD, MORROW, OH 45152-9495
(513) 641-8627
Mailing address
3116 MIDDLEBORO RD, MORROW, OH 45152-9495
(513) 641-8627
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602628260323
OH
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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