IndividualActive
Willie Bowman, COOK
NPI 1710740196 · Meals Provider · Bossier City, LA
Willie Bowman, COOK is a Meals Provider provider in Bossier City, LA (NPI 1710740196).
Provider details
- NPI number
- 1710740196
- Entity type
- Individual
- Primary specialty
- Meals ProviderOther Service Providers
- Credential
- COOK
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1525 Fullilove Dr
Bossier City, LA 71112-3346
Phone: (318) 222-8511
Street-level locationGet directions
Mailing address
2601 Airline Dr Apt 912
Bossier City, LA 71111-5864
Registry dates
- Enumerated
- 2024-01-30
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.