MR. Willie Bowman, COOK

NPI #1710740196 in Bossier City, Louisiana

Provider Information

NPI Number: 1710740196
Entity Type: Individual
Name: MR. Willie Bowman, COOK
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Meals
Credential: COOK
Enumeration Date: Jan 30, 2024
Last Updated: Jan 30, 2024

Practice Location

Address: 1525 FULLILOVE DR
City: Bossier City
State: Louisiana
ZIP Code: 71112-3346
Phone: (318) 222-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X	Primary

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