Individual
PERYL EDITH BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5216 72ND ST E, TACOMA, WA 98443-2722
(253) 537-8181
(253) 537-8181
Mailing address
5216 72ND ST E, TACOMA, WA 98443-2722
(253) 537-8181
(253) 537-8181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00004180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7052
DEPT. OF LABOR & INDUST
WA
Enumeration date
05/18/2007
Last updated
07/08/2007
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