Individual
ROY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4930 NAPLES ST, SAN DIEGO, CA 92110-3820
(619) 212-2290
Mailing address
5015 LAUREL ST, SAN DIEGO, CA 92105-5313
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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