Individual provider · Type 1 NPI

Deidre Lanae Bowman, COSMETOLOGIST

Prosthetics Case Management · Baltimore, MD

NPI number 1417587726 Active

Practice location

5441 Baltimore National Pike
Baltimore, MD 21229-2102

Call (443) 673-7064 Map

Mailing address

2804 Carver Rd
Baltimore, MD 21225-1312

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200X452804 (MD)

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1417587726

Deidre Lanae Bowman, COSMETOLOGIST's National Provider Identifier is 1417587726, issued on Jan 26, 2020. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Baltimore, MD. The record was last updated on Jan 26, 2020.