Individual
ALFRED BOWEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2651 IRVINE AVE STE 122, COSTA MESA, CA 92627-6645
(214) 669-0424
Mailing address
1111 E 3RD ST, SANTA ANA, CA 92701-4940
(214) 669-0424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
API-ABMP-17
ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
CA
Enumeration date
01/14/2020
Last updated
01/14/2020
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