Individual
MISS SONYA BROOKE BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.I.
Contact information
Practice address
793 ELSWICK ROAD, JONANCY, KY 41538
(606) 639-6619
Mailing address
793 ELSWICK ROAD, PO BOX 99, JONANCY, KY 41538
(606) 639-6619
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
KY
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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