Individual
DOMINIQUE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5116
(702) 929-3297
Mailing address
3435 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5116
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1306384219
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306384219
—
NV
Enumeration date
04/16/2021
Last updated
04/16/2021
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