Search › California › 171400000X
Breonna Bouie
NPI 1326881962 · on the registry since 2024 · sole proprietor
Practice
- Address
- 100 Whitney Ave
Vallejo, CA 94589 - Phone
- (707) 652-3142
- Organisation at this address
- Elite Public Schools
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-14
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