Individual
JODIE MARIE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22310 QUAIL RUN WAY, PARKER, CO 80138-3119
(720) 315-5865
Mailing address
22310 QUAIL RUN WAY, PARKER, CO 80138-3119
(720) 315-5865
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22235761
—
CO
Enumeration date
06/15/2013
Last updated
06/15/2013
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