Individual
TARA ROQUELLE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2098 RIDGEWAY RD, MEMPHIS, TN 38119-6304
(901) 722-6486
Mailing address
2098 RIDGEWAY RD, MEMPHIS, TN 38119-6304
(901) 722-6486
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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