Individual
KAMARA AYANNA MAGNOLIA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 S NELLIS BLVD APT 1167, LAS VEGAS, NV 89121-2071
(702) 272-8450
Mailing address
2675 S NELLIS BLVD APT 1167, LAS VEGAS, NV 89121-2071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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