Individual
KRISTI BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 CINNAMON DR, GALT, CA 95632-2430
(724) 290-0224
Mailing address
234 CINNAMON DR, GALT, CA 95632-2430
(724) 290-0224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
130207983
CA
174400000X
Specialist
Primary
140001144
CA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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