person
Mr. Mitchell Allen Bousson JR.
Psychiatric/Mental Health Registered Nurse in Modesto, California
NPI 1710748488

Mitchell Allen Bousson JR. is a Psychiatric/Mental Health Registered Nurse based in Modesto, CA and is specialized in Psychiatric/Mental Health. Mitchell Allen Bousson JR. practices in Modesto, CA. The NPI Number for Mitchell Allen Bousson JR. is 1710748488 and holds a License No. 95273030 (California).

The current practice location address for Mitchell Allen Bousson JR. is 500 N 9Th St, Modesto, CA and can be reached out via phone at 209-558-4598. You can also correspond with Mitchell Allen Bousson JR. through the mailing address at 900 N 9TH ST, MODESTO, CA - 95350-4723 (mailing address contact number: 209-558-4598).

Location: 500 N 9Th St, Modesto, CA, 95350-4723
person
Provider Profile Details
NPI Number
1710748488
Provider Name
Mitchell Allen Bousson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 N 9Th St, Modesto, CA, 95350-4723
Phone Number
209-558-4598
Fax Number
Provider Enumeration Date
01/19/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 N 9Th St
City
State
Zip
95350-5814
Phone Number
209-558-4598
Fax Number
person
Provider Business Mailing Address Details
Address
500 N 9Th St
City
State
Zip
95350-5814
Phone Number
209-558-4598
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95273030 (California)
Definition
Definition to come...
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