Individual
TATIONIA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 WESTFIELD AVE, BALTIMORE, MD 21214-1433
(443) 802-0567
Mailing address
PO BOX 24586, BALTIMORE, MD 21214-4586
(443) 376-8826
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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