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Individual

MS. SUSAN M BOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.E.

Contact information

Practice address
365 118TH AVE SE STE 201, BELLEVUE, WA 98005-9805
(425) 999-5758
Mailing address
PO BOX 741, MAPLE VALLEY, WA 98038-0741
(425) 999-5758

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
WA
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
04/09/2018
Last updated
04/09/2018
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