BRIANA LAUREN BOURBON

MODESTO, CA
NPI1326862616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  65708)
Enumeration Date2024-11-13
Last Update Date2025-01-16
Business Address
Mrs. BRIANA LAUREN BOURBON PA
1700 COFFEE RD # 1
MODESTO, CA 95355-2803
Phone number: 209-572-7251
Mailing Address
Mrs. BRIANA LAUREN BOURBON PA
1700 COFFEE RD # 1
MODESTO, CA 95355-2803
Phone number:
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