Individual
MARLENE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
677 LUCKY PINE ST, HENDERSON, NV 89002-3300
(773) 491-6840
Mailing address
677 LUCKY PINE ST, HENDERSON, NV 89002-3300
(773) 491-6840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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