Individual
COREY MORROW BOHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ANP
Contact information
Practice address
10700 MACARTHUR BLVD, OAKLAND, CA 94605-5298
(415) 377-1670
Mailing address
10700 MACARTHUR BLVD, OAKLAND, CA 94605-5298
(415) 377-1670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
775296
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
22487
CA
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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