Individual
JACQUELINE M BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
(307) 358-1144
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
(307) 358-1144
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
02/08/2022
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