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NPI Code Detail

MEDICARE: CEAIRRA TORRES BOWMAN

MEDICARE: CEAIRRA TORRES BOWMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide202096AZ

General Provider Information

NPI Number : 1396313912
Entity Type Code : Individual
Provider Name (Legal Business Name) : CEAIRRA TORRES BOWMAN
Provider Business Mailing Address
First Line : 1 W FIRESTORM WAY # 252
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3216
Country : US
Telephone Number : 928-965-0517
Fax Number :
Provider Business Practice Location Address
First Line : 12740 N PLAZA DEL RIO BLVD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-8100
Country : US
Telephone Number : 480-581-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 06/11/2021

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Directions to “ CEAIRRA TORRES BOWMAN ” Practice Location

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