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Search › California › 163WP0808X

Mitchell Bousson

NPI 1710748488 · on the registry since 2024

Practice

Address
500 N 9th St
Modesto, CA 95350
Phone
(209) 558-4598
Organisation at this address
County Of Stanislaus
County Of Stanislaus
County Of Stanislaus
County Of Stanislaus
County Of Stanislaus
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-19

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