Individual
ELIZABETH CUSTODIO BOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 S CHARLES ST, FOURTH FLOOR, BALTIMORE, MD 21230-3801
(410) 328-2293
(410) 328-5895
Mailing address
701 W PRATT ST, THIRD FLOOR ROOM 357, BALTIMORE, MD 21201-1023
(410) 328-7037
(410) 328-3311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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