Individual
JENNIE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 428-4257
Mailing address
14778 S GRANITE RIDGE LN, DRAPER, UT 84020-3411
(801) 884-6963
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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