Search › California › 103TS0200X
Sam Bouman, PH.D., L.E.P
NPI 1225392731 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1069 W 22nd St
Upland, CA 91784 - Phone
- (909) 896-8133
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California