GODWIN OKUNGBOWA

SACRAMENTO, CA
NPI1104835966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA17828)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- GODWIN OKUNGBOWA
3000 L ST
SACRAMENTO, CA 95816-5248
Phone number: 916-737-7121
Mailing Address
-- GODWIN OKUNGBOWA
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838-4512
Phone number: 916-563-7230