Individual
FRANK W BOWERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2629 MILL OAK DR, MODESTO, CA 95355-9453
(209) 247-6679
Mailing address
2629 MILL OAK DR, MODESTO, CA 95355-9453
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
197417
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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