Individual
JASON BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 SKYGUSTY HWY, SQUIRE, WV 24884
(304) 888-8069
Mailing address
PO BOX 274, SQUIRE, WV 24884-0274
(304) 888-8069
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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