Individual provider · Type 1 NPI

Elizabeth Custodio Bowery

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1962659557 Active

Practice location

611 S Charles St, Fourth Floor
Baltimore, MD 21230-3801

Call (410) 328-2293 Map

Fax (410) 328-5895

Mailing address

701 W Pratt St, Third Floor Room 357
Baltimore, MD 21201-1023

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962659557

Elizabeth Custodio Bowery's National Provider Identifier is 1962659557, issued on Aug 26, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 26, 2008.