Individual
JENNIE L BOWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 ROSEMONT AVE, FREDERICK, MD 21701-8524
(301) 696-3496
(301) 696-3673
Mailing address
22 HIGH ST, BROOKEVILLE, MD 20833-2506
(301) 325-3854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000018
MD
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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