Individual
CARLISS BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 VAN BRUNT PL, MIDDLETOWN, NJ 07748
(347) 965-4132
Mailing address
PO BOX 267, BELFORD, NJ 07718-0267
(347) 965-4132
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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