Provider Demographics
NPI:1003375395
Name:BOWERS, GLORIA CYNTHIA
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:CYNTHIA
Last Name:BOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 NEWBY AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3037
Mailing Address - Country:US
Mailing Address - Phone:301-459-0695
Mailing Address - Fax:
Practice Address - Street 1:8201 CORPORATE DR STE 700
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2255
Practice Address - Country:US
Practice Address - Phone:301-760-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide