Individual
AMY BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4173
(415) 491-2566
Mailing address
4020 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4173
(415) 491-2566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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