Individual
JACQUELINE BOWSER-KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 LIVE OAK DR STE 103, CHESAPEAKE, VA 23320-2672
(757) 943-6264
Mailing address
4742 BRIANS WAY, CHESAPEAKE, VA 23321-4489
(757) 943-6264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1236001353
VA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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