Individual
ANTOINE RASHAD BOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
10624 SPRINGMANN DR, FAIRFAX, VA 22030-3902
(571) 241-6979
Mailing address
10624 SPRINGMANN DR, FAIRFAX, VA 22030-3902
(571) 241-6979
(571) 282-4233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051485
—
VA
Enumeration date
01/18/2022
Last updated
01/18/2022
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