Individual
JAYSON BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(304) 696-3170
Mailing address
1 LYNWOOD TER, HUNTINGTON, WV 25705-3925
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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