Individual
TYLER BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 DONLON ST STE 15, VENTURA, CA 93003-5640
(805) 850-2686
Mailing address
2759 SAILOR AVE, VENTURA, CA 93001-4159
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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