Individual
ANNETTE JEAN BOWERSOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1399 JENNY ROAD, MALVERN, AK 72104
(501) 337-7882
Mailing address
1399 JENNY ROAD, MALVERN, AK 72104
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R52673
AR
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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