Individual
MR. JEFFREY M BAUWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
696 HAMPSHIRE RD STE 1, WESTLAKE VILLAGE, CA 91361-2699
(805) 413-7920
Mailing address
5809 SITTING BULL PL, SIMI VALLEY, CA 93063-5721
(661) 312-9111
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
732164
CA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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