Individual
DR. JUANITA BOWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD - RD
Contact information
Practice address
98 WESTFERN CT, COLUMBIA, SC 29212-1701
(803) 781-2818
(803) 781-2891
Mailing address
98 WESTFERN CT, COLUMBIA, SC 29212-1701
(803) 781-2818
(803) 781-2891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
803863
SC
Other
Enumeration date
09/19/2007
Last updated
01/06/2010
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