Individual
MR. BO ERNEST OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1801 E COTATI AVE, ROHNERT PARK, CA 94928-3613
(707) 664-4316
(707) 664-4104
Mailing address
5349 EUNICE ST, ROHNERT PARK, CA 94928-1822
(707) 586-2860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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