Individual
MRS. MARY E. SMITH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
46 MAPLE ST,, THE KENT, KENT, CT 06757
(860) 927-5368
Mailing address
P.O. BOX 273, WASSAIC, NY 12592
(845) 309-8278
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
026865
CT
164W00000X
Licensed Practical Nurse
Primary
236394-1
NY
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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