MRS. Briana Lauren Bourbon, PA
NPI #1326862616 in Modesto, California
Provider Information
- NPI Number
- 1326862616
- Entity Type
- Individual
- Name
- MRS. Briana Lauren Bourbon, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Nov 13, 2024
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 1700 COFFEE RD # 1
- City
- Modesto
- State
- California
- ZIP Code
- 95355-2803
- Phone
- (209) 572-7251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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