Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Caroline Boussenot

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154112019

MS. Caroline Boussenot is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1480 Lincoln Ave Ste 8
San Rafael, CA 94901-2085
Phone: (415) 456-7724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1154112019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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