Individual
JESSICA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 439-8910
Mailing address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 439-8910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
05/18/2022
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