Individual
GODWIN OKUNGBOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 L ST, SACRAMENTO, CA 95816-5248
(916) 737-7121
(916) 737-7135
Mailing address
3441 MARYSVILLE BLVD, SACRAMENTO, CA 95838-4512
(916) 563-7230
(916) 563-7229
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17828
CA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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