Individual
KIMBERLY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2677 ZOE AVE STE 304, HUNTINGTON PARK, CA 90255-3699
(323) 346-0960
Mailing address
2677 ZOE AVE STE 304, HUNTINGTON PARK, CA 90255-3699
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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