Individual
WAVILINIA BROOKE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2100 ROANOKE ST STE 12100, CHRISTIANSBURG, VA 24073-2512
(866) 692-3020
Mailing address
2100 ROANOKE ST STE 12100, CHRISTIANSBURG, VA 24073-2512
(866) 692-3020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002092630
VA
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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