Individual
JESSICA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5200
Mailing address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
574940
OK
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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