person
Mrs. Deidre Lanae Bowman, COSMETOLOGIST
Prosthetics Case Management in Baltimore, Maryland
NPI 1417587726

Deidre Lanae Bowman is a Prosthetics Case Management based in Baltimore, MD and is specialized in Prosthetics Case Management. Deidre Lanae Bowman practices in Baltimore, MD and has the professional credentials of COSMETOLOGIST. The NPI Number for Deidre Lanae Bowman is 1417587726 and holds a License No. 452804 (Maryland).

The current practice location address for Deidre Lanae Bowman is 5441 Baltimore National Pike, Baltimore, MD and can be reached out via phone at 443-673-7064.

Location: 5441 Baltimore National Pike, Baltimore, MD, 21225-1312
person
Provider Profile Details
NPI Number
1417587726
Provider Name
Deidre Lanae Bowman
Credential
COSMETOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
5441 Baltimore National Pike, Baltimore, MD, 21225-1312
Phone Number
443-673-7064
Fax Number
Provider Enumeration Date
01/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5441 Baltimore National Pike
City
State
Zip
21229-2102
Phone Number
443-673-7064
Fax Number
person
Provider Business Mailing Address Details
Address
5441 Baltimore National Pike
City
State
Zip
21229-2102
Phone Number
443-673-7064
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
452804 (Maryland)
Definition
Definition to come...
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