Individual
MRS. BETH A BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 JEFFERSON ST, NAPA, CA 94558
(707) 254-8871
Mailing address
1930 TRANCAS ST #346, NAPA, CA 94558
(707) 287-1975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
716254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
05/16/2011
Last updated
05/16/2011
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