Individual
JEREMY BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5200 N LAKE RD, MERCED, CA 95343-5001
(209) 228-2468
Mailing address
5200 N LAKE RD, MERCED, CA 95343-5001
(916) 770-6149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
08/13/2019
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