Mr. Mitchell Allen Bousson Jr.
Mr. Mitchell Allen Bousson Jr. is a Psychiatric/Mental Health Registered Nurse in Modesto, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
500 N 9th StModesto, CA 95350-5814
Phone: (209) 558-4598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 95273030 (CA) |
|---|
Record details
| NPI number | 1710748488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 19, 2024 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
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MS. Carol Marie Festejo, RN
500 N 9th St, Modesto, CA 95350-5814 · (209) 558-4598
-
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