NPI 1710740196

Willie Bowman, COOK

Practitioner Meals Provider Bossier City, LA

Practice location

Address: 1525 Fullilove Dr, Bossier City, LA 71112-3346
Phone: (318) 222-8511
Mailing address: 2601 Airline Dr APT 912, Bossier City, LA 71111-5864

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Louisiana →

Registry record

NPI: 1710740196
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2024
Record last updated: 30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.