Individual
MS. COLLETT T BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22 MANITOU AVE APT 1, POUGHKEEPSIE, NY 12603-2736
(845) 309-5577
Mailing address
PO BOX 3486, POUGHKEEPSIE, NY 12603-0486
(845) 309-5577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275320-1
NY
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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