Individual
JUSTIN GARRETT BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4800 FRIAR LN, LAS VEGAS, NV 89130
(210) 612-8447
Mailing address
4800 FRIAR LN, LAS VEGAS, NV 89130
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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