IndividualActive
Deidre Bowman, COSMETOLOGIST
NPI 1417587726 · Prosthetics Case Management · Baltimore, MD
Provider details
- NPI number
- 1417587726
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- COSMETOLOGIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 452804 (MD)
Practice location
5441 Baltimore National Pike
Baltimore, MD 21229-2102
Phone: (443) 673-7064
Mailing address
2804 Carver Rd
Baltimore, MD 21225-1312
Registry dates
- Enumerated
- 2020-01-26
- Last updated
- 2020-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.