Individual
TAMIKA SHAWNDALYNNE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19201 VAN AKEN BLVD APT 503, SHAKER HEIGHTS, OH 44122-3511
(216) 333-5060
Mailing address
19201 VAN AKEN BLVD APT 503, SHAKER HEIGHTS, OH 44122-3511
(216) 333-5060
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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