Individual
JESSICA ELIZABETH BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
197849
—
246ZS0410X
Surgical Technologist
Primary
127877
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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