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Search › California › 183500000X

Carolyn Hino-Bourassa

NPI 1629341953 · on the registry since 2012

Practice

Address
1006 W Wabash Ave
Eureka, CA 95501
Phone
(707) 441-0920
Fax
(707) 441-0923
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-16

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