Provider Demographics
NPI:1225706369
Name:BOWERS, TESSA (CFHC)
Entity Type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:
Last Name:BOWERS
Suffix:
Gender:F
Credentials:CFHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18547 HEPBURN CIR
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-4267
Mailing Address - Country:US
Mailing Address - Phone:703-728-3336
Mailing Address - Fax:
Practice Address - Street 1:18547 HEPBURN CIR
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-4267
Practice Address - Country:US
Practice Address - Phone:703-728-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date: