Individual
MS. AMANDA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, RD
Contact information
Practice address
9314 MELISSA WAY, SHREVEPORT, LA 71115-2527
(318) 458-9273
(318) 797-8979
Mailing address
9314 MELISSA WAY, SHREVEPORT, LA 71115-2527
(318) 458-9273
(318) 797-8979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1312
LA
Other
Enumeration date
03/07/2008
Last updated
05/22/2012
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