Individual
LATORIA SHANEL BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5127 VICTORIA RD, INDIANAPOLIS, IN 46228-2130
(463) 330-3778
Mailing address
5127 VICTORIA RD, INDIANAPOLIS, IN 46228-2130
(463) 330-3778
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
24-017439-1
IN
Other
Enumeration date
10/14/2024
Last updated
05/01/2026
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