Individual
KALVIN DEWAYNE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 392-9903
Mailing address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 392-9903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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