Mrs. Deidre Lanae Bowman, COSMETOLOGIST
Mrs. Deidre Lanae Bowman, COSMETOLOGIST is a Prosthetics Case Management in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
5441 Baltimore National PikeBaltimore, MD 21229-2102
Phone: (443) 673-7064
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X · Licence 452804 (MD) |
|---|
Record details
| NPI number | 1417587726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COSMETOLOGIST |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2020 |
| Last updated in NPPES | January 26, 2020 |
| Certification date | January 26, 2020 |
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