Individual
SHAINA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 114, FREDERICKSBURG, VA 22404-0114
(404) 969-2732
Mailing address
PO BOX 114, FREDERICKSBURG, VA 22404-0114
(404) 969-2732
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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