Individual
KESHIA LAIS BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W HUNTINGTON DR, MONROVIA, CA 91016-3303
(626) 386-5917
(626) 822-3604
Mailing address
325 W HUNTINGTON DR, MONROVIA, CA 91016-3303
(626) 386-5917
(626) 822-3604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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