Individual
MIKAYLA DENISE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
6457 STONE DRY AVE UNIT 103, HENDERSON, NV 89011-1386
(702) 803-0467
Mailing address
6457 STONE DRY AVE UNIT 103, HENDERSON, NV 89011-1386
(702) 803-0467
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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