Individual
LISA MARIE BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 E WAHALLA LN, PHOENIX, AZ 85050-7904
(602) 568-8506
Mailing address
3330 E WAHALLA LN, PHOENIX, AZ 85050-7904
(602) 568-8506
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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