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MRS. JACQUELINE BOWEN FALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
4550 EMPIRE CT, FREDERICKSBURG, VA 22408-1939
(804) 339-9303
Mailing address
5670 S GARDEN RD, PROVIDENCE FORGE, VA 23140-3152
(804) 339-9303

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024176518
VA

Other

Enumeration date
10/25/2018
Last updated
10/25/2018
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