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Shanille Bowens
NPI 1205449121 · on the registry since 2020 · sole proprietor
Practice
- Address
- 7174 Blue Grouse Ln
Memphis, TN 38125 - Phone
- (773) 814-3402
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 101Y00000X
174N00000X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee