Most Relevant Information
Provider Data
NPI Number: | 1003414301 |
Provider Name: | SARAH BOWMAN |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 10/09/2020 |
Last Updated: | 10/09/2020 |
Provider Practice Location
55 4B MOBILE ESTATES
WESTON
WV
26452
Practice Location Phone/Fax
Phone: | 6812056317 |
Fax: |
Provider Mailing Location
55 4B MOBILE ESTATES
WESTON
WV
26452
Provider Mailing Phone/Fax
Phone: | 6812056317 |
Fax: |