Individual
ARIANNA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 334-3411
Mailing address
975 S FAIRMONT AVE, LODI, CA 95240-5118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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