Individual
MR. JONATHAN MICHAEL MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
400 N BEECH ST APT 116, WINNSBORO, TX 75494-2760
(210) 990-0216
Mailing address
400 N BEECH ST APT 116, WINNSBORO, TX 75494-2760
(210) 990-0216
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338819
TX
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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