Individual
SHANNON ABEL BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4813 FRANK DR, JOLIET, IL 60404-9635
(325) 387-8100
Mailing address
3371 KNICKERBOCKER RD # 21, SAN ANGELO, TX 76904-6814
(325) 387-8100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041405873
IL
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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