Mr. Willie Bowman, COOK
Mr. Willie Bowman, COOK is a Meals Provider in Bossier City, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2024
Practice location Address checks out
1525 Fullilove DrBossier City, LA 71112-3346
Phone: (318) 222-8511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Meals Provider (primary) | Taxonomy 174200000X (LA) |
|---|
Record details
| NPI number | 1710740196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COOK |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2024 |
| Last updated in NPPES | January 30, 2024 |
| Certification date | January 30, 2024 |