Individual
MRS. ANGELA RENEE BOWLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 VAILE AVE, SUITE A, FLORISSANT, MO 63034-2210
(314) 831-6400
Mailing address
3837 VAILE AVE, SUITE A, FLORISSANT, MO 63034-2210
(314) 831-6400
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289733602
—
MO
Enumeration date
05/01/2008
Last updated
05/01/2008
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