Individual
LORIAN ALESHIA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8864 SW 129TH TER STE B, MIAMI, FL 33176-5931
(786) 438-6642
Mailing address
8864 SW 129TH TER STE B, MIAMI, FL 33176-5931
(786) 438-6642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87359
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B500-521-88-757-1
DRIVERS LICENSE
FL
Enumeration date
01/21/2020
Last updated
01/21/2020
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