Individual
AIMEE BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-4763
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RP0009325
WV
Other
Enumeration date
03/10/2016
Last updated
03/11/2016
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