Individual
PHALNESHA L BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4606 LEE ST, ALEXANDRIA, LA 71302-3235
(418) 441-1105
Mailing address
205 MYRTLE ST, PINEVILLE, LA 71360-5163
(318) 787-4653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164W00000X
Licensed Practical Nurse
Primary
230780
LA
Other
Enumeration date
05/25/2021
Last updated
12/13/2022
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