Individual
EVADNEY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-2153
Mailing address
12 N 3RD ST, PLEASANTVILLE, NJ 08232-2616
(609) 470-6058
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA8268825
NJ
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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